Reminder: How to get Reimbursements for Sport/Camp Physicals 



As a reminder to our Blue Cross and Blue Shield of Texas (BCBSTX) Medicaid providers, to receive reimbursement for Sport/Camp Physicals, please do not submit the Sports/Camp physicals through the claims system, as this service is not a benefit of Texas Medicaid.

Follow these steps:

  • Primary Care Provider (PCP) should verify the eligibility of assigned member and confirm there has not been a physical within one year of the last physical.
  • Providers must conduct a physical that meets the minimum requirements defined by a Sports or Camp Physical.
  • Provider must submit a Sports and Camp Physical Reimbursement Form to BCBSTX within 95 days of the date of services. The form must be filled out and mailed to:

Blue Cross and Blue Shield of Texas
Attn: Sports/Camp Physical
P.O. Box 201166
Austin, TX 78720-9919

Reference our Texas Medicaid Provider Manual on pages 127-128 for additional information.

Providers, for questions or additional information, please:

  • Contact your BCBSTX Member Advocate at 1-877-375-9097.
  • Contact your Medicaid Provider Network Representative at 1-855-212-1615.
  • Submit via email Texas Medicaid Network Department.