Behavioral Health Forms Update!

January 2, 2019

Starting, Jan. 1, 2019, you will notice some changes to Blue Cross and Blue Shield of Texas (BCBSTX) behavioral health request forms. The changes will make it easier for you to navigate the forms. The Applied Behavioral Analysis (ABA) forms also include the new ABA Current Procedural Terminology (CPT®) codes.

In addition, several of the new forms can be submitted using iExchange®. For example, in-network providers can submit an initial Intensive Outpatient Program (IOP) or Electroconvulsive Therapy (ECT) request for up to 12 sessions using iExchange. The instructions at the top of each form indicate the best method for submitting.

Please use the CPT codes for 2019 as communicated by the American Psychological Association and the American Medical Association.

The changes include:

find the latest forms on the Forms page on the BCBSTX provider website or select the form names above.

Aerial, iExchange and Medecision® are trademarks of Medecision, Inc., a separate company that offers collaborative health care management solutions for payers and providers. BCBSTX makes no endorsement, representations or warranties regarding any products or services offered by Availity or Medecision. The vendors are solely responsible for the products or services they offer. If you have any questions regarding any of the products or services they offer, you should contact the vendor(s) directly.

CPT copyright 2018 American Medical Association (AMA). All rights reserved. CPT is a registered trademark of the AMA.