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Education Materials

Presentations

  • BCBSTX  Provider Orientation
  • Behavioral Health Primary Care Physician Toolkit
  • Children and Pregnant Women (CPW) Webinar
  • Children of Migrant Farm Workers
  • Claims Billing Provider Training
  • Healthy Texas Women Training
  • HEDIS Quick Reference Provider Webinar
  • Service Coordination Overview Training for STAR, CHIP and STAR Kids 
  • Texas Health and Human Services (HHS) External Medical Review (EMR) Provider Training
  • Texas Health Steps Presentation
  • Utilization Management (UM) Provider Orientation Training

Availity User Guide Tools

  • Authorization User Guide
  • Claim Status Tool User Guide
  • Electronic Professional Claim Submission User Guide
  • Referral User Guide
  • Remittance Viewer User Guide

Other

  • Advance Directives
  • Altruista SSO Availity Tip Sheet
  • Balance Billing
  • Benefit Limits
  • Cost Sharing
  • DME/Medical Supplies
  • Early Childhood Intervention (ECI)
  • Frew v Janek Consent Decree and Corrective Action Orders
  • THSteps/CHIP/HEDIS Audit Tip Sheet
  • Interpreting the ‘PLB’ Segment on the 835 ERA Guide
  • Medical Record and Facility Site Review
  • Member Acknowledgment Statement
  • PCP Responsibilities
  • Provider Contact Information
  • Quality Assurance (QA) and Performance Improvement (PI) Program
  • Referral Process
  • Self-Measured Blood Pressure Monitoring
  • Specialist as PCP Process
 
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  • Home
  • Network Participation
    • Network Participation
    • Attestation and Agreement
    • Credentialing and Recredentialing
    • Provider and Pharmacy Directories
  • Claims & Eligibility
    • Claims
    • Eligibility
    • Utilization Management (Prior Authorizations)
    • Long Term Services and Support (LTSS)
    • Provider Administered Drugs
    • Referral Requirements
    • STAR Kids Referral and Authorization Process
    • Electronic & Paper Submission Edits
  • Education & Reference
    • Education and Reference
    • Blue Review
    • Education Materials
    • Electronic Visit Verification (EVV)
    • Forms
    • News
    • Provider Training
    • Medicaid Simplified Podcast
    • Texas Health Steps (THSteps) Toolkit
    • Value-Added Services for STAR, CHIP and STAR Kids
    • Medicaid Provider Information on COVID-19 Coverage
  • Clinical Resources
    • Clinical Resources
    • Behavioral Health
    • Clinical Practice Forms
    • Early Childhood Intervention
    • Medical Policies
    • Vision
    • eviCore Prior Authorization Program
    • HEDIS Toolkit (Tip Sheets)
    • Quality Improvements (QI) Toolkits and Tip Sheets
  • Pharmacy
    • Pharmacy
    • Home Delivery Pharmacy (Mail-Order Pharmacy)
    • Benefits and Claims
    • Pharmacy Clinical Edits
    • Preferred Drug List
    • Medicaid (STAR) and CHIP Prior Authorization Forms
    • STAR Kids Prior Authorization Forms