Disclosure Notices



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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 posted 90 days in advance of the effective date of the change.


Disclosure notices can include but are not limited to fee schedule updates and reimbursement 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.




NoticePostedEffective

Fee Schedule Update

10/06/2017 10/01/2018

Blue Essentials Preauthorization Changes

10/02/2017 01/01/2018

Blue Advantage HMO & Blue Premier Preauthorization Changes

10/02/2017 01/01/2018

Blue Choice PPO Preauthorization Changes

10/02/2017 01/01/2018

Hospital/Facility Based Medical Group Provider Language Attachment

09/29/2017 01/01/2018

Psychological and Neuropsychological Testing

09/27/2017 10/01/2017

2018 Updates to the Blue Cross Medicare Advantage (PPO)SM and Blue Cross Medicare Advantage (HMO)SM Preauthorization Lists

09/18/2017 01/01/2018

Update to the Recoupment Policy for Blue EssentialsSM, Blue Advantage HMOSM, Blue PremierSM and HealthSelectSM Network

08/17/2017 09/15/2017

Notice of changes to Billing and Documentation Information and Requirements

08/15/2017 09/15/2017

Code-Auditing Enhancement

08/14/2017 11/12/2017

Implant Payment and Coding

08/09/2017 11/15/2017

NICU Level of Care Authorization and Reimbursement - Clinical Payment and Coding Policy Posted

06/26/2017 10/01/2017

New ClaimsXtenTM Rules to be Implemented

06/12/2017 09/18/2017

BCBSTX New Employer Group Plan – Employees Retirement System of Texas (ERS) Effective Sept. 1, 2017

05/31/2017 09/01/2017

Announcing eviCore To Begin New Preauthorization Requirements for Blue EssentialsSM, and Blue Essentials AccessSM

05/26/2017 09/01/2017

Announcing eviCore To Begin New Preauthorization Requirements for Blue Choice PPOSM, and Blue PremierSM

05/01/2017 08/01/2017

Inpatient Unbundling – Clinical Payment and Coding Policy Posted

04/24/2017 07/24/2017

Evaluation and Management of Emergency Department Coding – Clinical Payment and Coding Policy Posted

04/24/2017 07/24/2017

ClaimsXtenTM Announces Software Version Upgrade

04/19/2017 07/17/2017

Rescheduled Implementation of Additional Code Auditing Software

03/16/2017 05/07/2017

Blue Cross Medicare Advantage HMO and Blue Cross Medicare Advantage PPO New Preauthorization Requirements through eviCore effective June 1, 2017

02/24/2017 06/01/2017

Medicare Outpatient Observation Notice for Blue Cross Medicare Advantage HMOSM and Blue Cross Medicare Advantage PPOSM

02/22/2017 03/01/2017

Additional Code-auditing Software Scheduled for May 7, 2017 Implementation

01/23/2017 02/07/2017

NoticePostedEffective

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

ClaimsXtenTM 1st Quarter 2017 Updates

12/05/2016 03/20/2017

Urinary Drug Test (UDT) Fee Schedule Update

10/25/16 02/01/17

Physician Payment Policies for Members enrolled in Blue Cross Medicare Advantage HMOSM and Blue Cross Medicare Advantage PPOSM

10/25/16 02/01/17

Applied Behavioral Analysis Fee Schedule Update

10/17/16 02/01/17

Update to After-Hours and Weekend Care Codes Payment Policy

10/12/16

01/01/17

Announcing Changes that Will Affect Claims Submissions for Medicare Advantage Plans

09/30/16

01/01/17

2017 Updates to the Blue Cross Medicare Advantage (PPO)SM and Blue Cross Medicare Advantage (HMO)SM Preauthorization Lists

09/29/16

01/01/17

Update to Blue Advantage HMOSM and Blue Advantage PlusSM HMO Preauthorization/Referral List – Preauthorization Required for Specific Outpatient Surgeries

09/28/16

01/01/17

Announcing a New Change for Rehabilitative and Habilitative Services for Members Enrolled in Qualified Health Plans under the Affordable Care Act

09/28/16

01/01/17

New Preauthorization Requirement for Applied Behavior Analysis for BCBSTX Members Enrolled in Blue Choice PPOSM

09/28/16

01/01/17

Notification for Inpatient Admission for Post Stabilization Care Required Within One Business Day

09/27/16

01/01/17

New Preauthorization Requirements through eviCore

06/28/16

10/03/16

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

Enroll in Medicare as a Provider with CMS

02/01/16

06/1/16


NoticePostedEffective

CPT Code 55250

02/19/13

11/01/12

Billing with National Drug Codes (NDCs) 

10/04/12

Delayed until further notice

Modifier Reimbursement Changes 

7/30/12

11/01/12

Fee Schedule Update

7/26/12

11/01/12

Billing with National Drug Codes (NDCs)

4/13/12

7/15/12

Code Auditing Update

2/7/12

5/7/12