01/01/2019 Update to the Blue Cross Medicare Advantage Preauthorization List

September 17, 2018

Effective 01/01/2019, Blue Cross and Blue Shield of Texas (BCBSTX) has made updates to the preauthorization list. A revised list has been posted to the BCBSTX provider website under Clinical Resources then select Preauthorizations/Notifications/Referral Requirements and select Blue Cross Medicare Advantage PPOSM and Blue Cross Medicare Advantage HMOSM effective 01/01/2019 PDF Document.

Thank you for your cooperation as we work to optimize our Care Management program to better serve our providers and members.

If you have any questions or if you need additional information, please contact your BCBSTX Network Management Representative.

Please note that the fact that a service has been preauthorized/pre-certified is not a guarantee of payment. Benefits will be determined once a claim is received and will be based upon, among other things, the member’s eligibility and the terms of the member’s certificate of coverage applicable on the date services were rendered.