Education and Reference

Cultural Competency Plan

Blue Cross and Blue Shield of Texas (BCBSTX) ensures interpreter services are available. BCBSTX does not encourage use of family, friends or children to serve as interpreters due to the difficult words used for medical information. If you need assistance with interpreters. please contact Customer Service for assistance.

Providers have access to a BCBSTX Language line to be used for our members for phone interpreter services as well as video capabilities for language assistance include ASL video services. See our provider manual on the timeline for requesting face to face interpreters or for information on using our language line.

Request Interpreter Services by calling 1-866-256-7245.

24 Hour Nursline Hotline

Members can call the 24 Hour Nurse Hotline to speak to a registered nurse. Nurses provide health information regarding illness and options for accessing care, including emergency services, if appropriate. The nurses at the Nurse Hotline have access to a telephone interpreter service for callers who do not speak English. All calls are confidential. Members can contact the 24 Hour Nurse Hotline for:

  • Assistance with self-care information (symptoms, medications and side effects, reliable self-care home treatments, etc.).
  • Information about more than 300 health topics through the Nurse Hotline audio tape library.
  • A specialized nurse who is trained to discuss health issues specific to our teenage members.

STAR and CHIP: 1-844-971-8906
STAR Kids: 1-855-802-4614

Electronically Prescribing Controlled Substances

The DEA allows and encourages the use of electronic prescribing of controlled substances (EPCS) as a modern technology to reduce medication errors and fraud by maintaining a closed system of controls on controlled substances. Despite its availability since 2010, and an over-all increase in electronic prescribing, very few Texas clinicians have adopted its use for controlled substances. While 85% of Texas pharmacies have technology in place to process EPCS, only 2.5% of Texas prescribers are EPCS enabled. This leaves Texas behind the 4.1% national average for prescriber readiness. Being that schedule II-V prescriptions account for 12% of all drug claims, Texas Medicaid supports the use of EPCS and the associated education of prescribers on EPCS utility.

To help prescribers get started in the practice setting, see the HHSC endorsed material:

LARC Toolkit

Long-acting reversible contraception (LARC) is a highly effective contraceptive option with high rates of patient satisfaction and method continuation. Texas has made improving access to LARCs a priority.

The Texas LARC toolkit is aimed at helping providers to increase the availability of LARCs to all Texas women. The Toolkit offers suggestions and resources to support implementation of a policy to make LARCs available to women throughout the reproductive life cycle, including prior to the first pregnancy, during the postpartum period (both during the hospital stay and at the postpartum visit), and whenever family planning services are received.

View the LARC toolkit

Provider Manual

Medicaid STAR Kids Provider Manual

STAR Kids Provider Manual Addendum

Medicaid (STAR) and CHIP Provider Manual

Medicaid (STAR) and CHIP Provider Manual Addendum

Reference Guides

Medicaid (STAR) and CHIP Reference Guide

STAR Kids Quick Reference Guide

Texas Health Steps

  • Submit Texas Health Steps Claims on CMS-1500
  • Include Benefit code "EP1" in field 11 on the CMS-1500 form and in SBR Loop 2000B, SBR03 for electronic submission. Do not include any other characters in this field as this will cause the claim to deny.
  • Diagnosis code "Z00121 and Z00129"
  • No rendering National Provider Identifier required for Texas Health Steps
  • Submission of Other Insurance (OI) coverage is not required for Texas Health Steps preventive care
  • THSteps and CHIP Preventive visits may be performed on the same day as Acute Care services. However, services must be billed on separate claim forms
  • THSteps Checkup Documentation -- Essential to Medical Records
  • Texas Health Steps Provider Outreach Form  Important Information

Texas Health Steps Educational Information

Locate DSHS Child Health Record Forms for Medicaid (STAR) members  Important Information

For BCBSTX CHIP members, use the Blue Cross and Blue Shield of Texas preventive care forms. These forms are located under the Medicaid (STAR) and CHIP Clinical Practice Tools Tab.