Services Not Requiring PCP Referrals for ERS HealthSelect of TexasSM Participants

January 31, 2018

Blue Cross and Blue Shield of Texas has updated the Prior Authorization and Referral Requirements List to clarify services that do not require a referral from a primary care provider (PCP) for HealthSelect of Texas participants. The following was added to the HealthSelect of Texas prior authorization and referral requirements list:

  • Chiropractic care, physical therapy, occupational therapy and speech therapy do not require a referral, but do require prior authorization for subsequent visits
  • OB-Gyn
  • Retail Health
  • Therapeutic Optometrist or Ophthalmologist (Routine or diagnostic exams in office setting)
  • Urgent Care Providers
  • Mental Health Counseling
  • Doc on Demand
  • MD Live

If you have any questions, please contact your Network Management Representative.