Blue Cross Medicare Advantage HMOSM and Blue Cross Medicare Advantage Dual Care (HMO SNP) SM Behavioral Health Services Update

10/06/2023

Effective January 1, 2024, Magellan will no longer be contracted with Blue Cross Blue Shield of Texas (BCBSTX) for Behavioral Health (BH) Services for both Blue Cross Medicare Advantage HMO and Blue Cross Medicare Advantage Dual Care (HMO SNP). We want to assure you that BCBSTX is committed to ensuring a smooth transition during this period.

Note:  There will be no changes for Blue Cross Medicare Advantage PPOSM

IMPORTANT DETAILS:

  1. Transition Period: BCBSTX will honor all authorizations and referrals on file with Magellan for up to 180 days from the effective date of January 1, 2024. This means that any ongoing authorizations and referrals will be honored during this transition period, ensuring that your patients' care remains uninterrupted.
  2. Contracting Opportunities: If you are a behavioral health provider (who is not currently contracted directly with BCBSTX and would like to be, we encourage all (BH) provider types to take the next steps. You can begin the contracting and credentialing process by following the Join My Network link provided on our website.
  3. Refer To: The Blue Cross Medicare Advantage Quick Reference Guide for additional contacts and resources.

We understand that this change may raise questions or concerns, and we are here to support you throughout this transition. Please feel free to reach out to your dedicated Medicare Advantage Network Team  for any assistance or clarification you may need.

In addition, we will be hosting two HMO Behavioral Health Insourcing 30-minute seminars select your preferred date and time below to register for an upcoming session:

Thank you for your dedication to delivering quality behavioral health services to our members, and we appreciate your understanding during this transition period.