Fee Schedule Update for ParPlan, BlueChoice® and HMO Blue® Texas Ancillary Providers

The ParPlan, BlueChoice® and HMO Blue® Texas maximum allowable fees for all Ancillary Providers with the exception of Durable Medical Equipment / Prosthetic & Orthotic Providers will be updated to reflect 2010 relative values effective July 1, 2010. Geographic Practice Cost Indices (GPCIs) will not be applied to the relative values so the relative values will not differ by Medicare locality. HMO Blue Texas, BlueChoice and ParPlan relative values will consider the site of service where the service is performed (facility or non-facility). The Drug/Injectable Fee Schedule will be updated on the following dates: 6/1/2010, 9/1/2010, 12/1/2010, 3/1/2011 and 6/1/2011.

Blue Cross and Blue Shield of Texas provides general reimbursement information policies and other fee schedule information at www.bcbstx.com/provider. To view this information, visit the General Reimbursement Information section on this Web site. Reimbursement changes will be posted under "Reimbursement Changes and Updates" in the Reimbursement Schedules section on the Web site. The changes will not become effective until at least 90 days from the posting date. The specific effective date will be noted for each change that is posted.

Durable Medical Equipment and Prosthetics & Orthotics Providers only, maximum allowable fees will be updated effective 10/15/2010.

If you have any other questions, please contact your Facility Provider Network representative.