Disclosure Notices
Blue Cross and Blue Shield of Texas (BCBSTX) uses the BCBSTX Provider website to publish disclosure notices. The website allows BCBSTX to disclose changes in a timely and comprehensive manner.
Disclosure notices are subject to being posted either 60 or 90 days in advance of the effective date of the change with as much notice as is practicable and in compliance with applicable state or federal law.
Disclosure notices can include but are not limited to fee schedule updates and reimbursement policies, clinical payment and coding policies, provider manuals and/or benefit and medical policy changes which may impact claim payments.
If you need assistance accessing this information on the BCBSTX Provider website, please contact your Network Management office.
Note - Effective Feb. 1. 2021, disclosures related to Clinical Payment and Coding Policies (CPCP) will indicate CPCP and the policy number followed by the title of the policy. |
Notice | Posted | Effective |
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03/01/2021 | 06/01/2021 | |
CPCP028 Non-Reimbursable Experimental, Investigational and/or Unproven Services (EIU) |
02/09/2021 | 05/15/2021 |
01/29/2021 | 05/01/2021 |
Notice | Posted | Effective |
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01/01/2019 | 04/01/2019 | |
12/01/2018 | 03/01/2019 | |
11/16/2018 | 02/15/2019 | |
10/26/2018 | 02/01/2019 | |
02/01/2019 Update to the Blue Cross Medicare Advantage Preauthorization List |
10/22/2018 | 02/01/2019 |
BCBSTX Preauthorization and Prenotification Changes Beginning January 1, 2019 |
10/03/2018 | 01/01/2019 |
New Preauthorization Requirements for Blue Choice PPOSM H-E-B Members Only Effective Jan. 1, 2019 |
09/24/2018 | 01/01/2019 |
01/01/2019 Update to the Blue Cross Medicare Advantage Preauthorization List |
09/17/2018 | 01/01/2019 |
Updates to Clinical Payment and Coding Policies Effective 11/1/2018 |
07/26/2018 | 11/1/2018 |
07/02/2018 | 10/1/2018 | |
New eviCore Email Notification for Utilization Management Decisions |
06/14/2018 | 9/15/2018 |
05/28/2018 | 9/1/2018 | |
03/29/2018 | 06/28/2018 | |
03/29/2018 | 07/01/2018 | |
New Preauthorization Requirements for Blue Choice PPOSM HEB members |
02/20/2018 | 02/20/2018 |
Notice | Posted | Effective |
---|---|---|
Revised Effective Dates for Applied Behavioral Analysis Fee Schedule Update |
12/27/2016 | 02/01/17 and 4/1/17 |
Important Changes Impacting Claims Submissions for BCBSTX Medicare Advantage Plans |
12/07/2016 | 01/01/17 |
12/05/2016 | 03/20/2017 | |
10/25/16 | 02/01/17 | |
10/25/16 | 02/01/17 | |
10/17/16 | 02/01/17 | |
10/12/16 |
01/01/17 |
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Announcing Changes that Will Affect Claims Submissions for Medicare Advantage Plans |
09/30/16 |
01/01/17 |
09/29/16 |
01/01/17 |
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09/28/16 |
01/01/17 |
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09/28/16 |
01/01/17 |
|
09/28/16 |
01/01/17 |
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Notification for Inpatient Admission for Post Stabilization Care Required Within One Business Day |
09/27/16 |
01/01/17 |
06/28/16 |
10/03/16 |
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ClaimsXtenTM New Specialty Pharmacy Rule – Notification of Postponement |
06/01/16 |
08/15/16 |
ClaimsXtenTM Outpatient Facility Rules: Notice of Postponement for BlueCard® Host |
05/24/16 |
07/18/16 |
ClaimsXtenTM 2nd Quarter 2016 Updates and New Specialty Pharmacy Rule Notification |
04/18/16 |
07/18/16 |
02/01/16 |
06/1/16 |
Notice | Posted | Effective |
---|---|---|
ClaimsXten™ March 2015 Updates |
12/23/14 |
03/23/15 |
ClaimsXten™ Fourth Quarter 2014 Updates |
09/08/14 |
12/09/14 |
08/5/14 |
11/03/14 |
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2014 DMERC Rates were updated to the Specialty DME Schedule effective 11/01/2014. |
08/01//14 |
11/01/14 |
07/30/14 |
10/28/14 |
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07/01//14 |
09/29/14 |
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06/12/14 |
10/01/14 |
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05/15/14 |
08/15/14 |
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03/28/14 |
07/01/14 |
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03/28/14 |
07/01/14 |
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03/01/14 |
06/01/14 |
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02/18/14 |
05/19/14 |
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11/05/13 |
02/10/14 |
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10/28/13 |
02/01/14 |
Notice | Posted | Effective |
---|---|---|
11/5/13 |
02/10/14 |
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10/28/13 |
02/01/14 |
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08/30/13 |
12/15/13 |
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08/30/13 |
12/15/13 |
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07/26/13 |
11/01/13 |
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ClaimsXtenTM Third Quarter 2013 UpdatesTM Code Auditing Tool |
07/15/13 |
10/14/13 |
04/12/13 |
07/15/13 |
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02/04/13 |
05/05/13 |
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01/04/13 |
02/01/13 |
Notice | Posted | Effective |
---|---|---|
02/19/13 |
11/01/12 |
|
10/04/12 |
Delayed until further notice |
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7/30/12 |
11/01/12 |
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7/26/12 |
11/01/12 |
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4/13/12 |
7/15/12 |
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2/7/12 |
5/7/12 |
Notice | Posted | Effective |
---|---|---|
6/1/11 |
9/1/11 |
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6/1/11 |
9/1/11 |
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5/27/11 |
9/1/11 |
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5/2/11 |
5/2/11 |
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3/1/11 |
6/1/11 |
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New Code Auditing Tool to Help Improve Claim Processing — ClaimsXten |
12/14/10 |
4/18/11 |
10/27/10 |
1/31/11 |
|
8/23/10 |
1/1/11 |
Notice | Posted | Effective |
---|---|---|
2009 & 2010 Hospital OP Based Compensation Schedule — Non Surgical OTHER Updates |
8/15/10 |
11/15/10 |
2009 ASC Base Compensation Schedule — Non Surgical OTHER Updates |
8/15/10 |
11/15/10 |
2009 ASC Base Compensation Schedule — ASC Approved Procedures Updates |
8/15/10 |
11/15/10 |
2009 ASC Base Compensation Schedule — APC Grouped Procedures Updates |
8/15/10 |
11/15/10 |
8/15/10 |
11/15/10 |
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8/15/10 |
11/15/10 |
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Code Auditing & Modifier 59 Exempt Auditing |
3/16/10 |
7/26/10 |
Ancillary Fee Schedule Update |
4/1/10 |
7/1/10 |
Professional Fee Schedule Update |
4/1/10 |
7/1/10 |
Multiple Surgery Pricing Per Session Methodology |
3/31/10 |
7/1/10 |
New Exclusive HMO and Preferred Statewide PPO/POS Clinical Reference Lab Provider Effective June 1, 2010 |
3/16/10 |
6/1/10 |
Change to HMO Blue Texas Outpatient Clinical Reference Lab Services Effective June 1, 2010 |
2/19/10 |
6/1/10 |
Notice | Posted | Effective |
---|---|---|
11/15/09 |
12/15/09 |
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Change to HMO Blue® Texas Outpatient Clinical Reference Lab Services Effective November 1, 2009 |
7/14/09 |
11/1/09 |
5/15/09 |
8/15/09 |
|
5/15/09 |
8/15/09 |
Notice | Posted | Effective |
---|---|---|
11/26/08 |
3/1/09 |
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Change to the HMO Blue Texas Outpatient Clinical Reference Lab Services |
8/22/08 |
12/1/08 |
Notice | Posted | Effective |
---|---|---|
7/30/07 |
11/1/07 |
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Change to Services Requiring HMO Blue Texas Preauthorization |
6/18/07 |
6/25/07 |
2/6/07 |
6/25/07 |