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 —Disclosures related to Clinical Payment and Coding Policies (CPCP) will indicate CPCP and the policy number followed by the title of the policy. |
2022
| Notice | Posted | Effective |
|---|---|---|
| 05/06/2022 | 08/22/2022 | |
Prior Authorization Code Update Effective 8/1/22 for Commercial Members |
05/05/2022 | 08/01/2022 |
| 05/02/2022 | 08/04/2022 | |
| 04/29/2022 | 08/01/2022 | |
BCBSTX to Recommend Preferred Drugs through Enhanced Prior Authorization |
04/29/2022 | 08/01/2022 |
CPCP028 Non-Reimbursable Experimental, Investigational and/or Unproven Services Update 08/01/2022 |
04/27/2022 | 08/01/2022 |
| 04/14/2022 | 07/15/2022 | |
| 03/15/2022 | 06/15/2022 | |
CPCP014 Global Surgical Services – Professional Providers – Effective 06/13/22 |
03/11/2022 | 06/13/2022 |
| 03/03/2022 | 06/13/2022 | |
CPCP024 Evaluation & Management Coding - Professional Services Update |
02/02/2022 | 05/01/2022 |
POSTPONED AS OF 03/25/2022 New Laboratory Management Program & Related Clinical Payment and Coding Policies to Begin on May 1, 2022 |
01/31/2022 | 05/01/2022 |
CPCP028 Non-Reimbursable Experimental, Investigational and/or Unproven Services Update |
01/14/2022 | 04/15/2022 |
| 01/10/2022 | 04/12/2022 | |
| 01/10/2022 | 04/11/2022 |