Blue Review
A newsletter for Medicaid providers

July 2018

Hot Topics

Year-round Zika Prevention

Review benefit details and resources about the year-round mosquito repellant benefit for Medicaid and Children’s Health Insurance Program (CHIP) members.

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Reminder: EVV Process Transitioning to DataLogic

As a reminder, the Health and Human Services Commission’s (HHSC) contract with MEDsys expires Nov. 6, 2018, and will not be renewed. If you use Electronic Visit Verification (EVV), make sure to review recent HHSC notifications about the transition timeline of MEDSys to DataLogic.

Focus on Behavioral Health

Texas Health Steps (THSteps) New Covered Benefit: Postpartum Depression Screening

Learn about the new benefit covering postpartum depression screening for moms during the first 12 months after delivery.

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THSteps Requirement Update: Mental Health Screening

Mental health screening for behavioral, social and emotional development is required at each THSteps checkup for ages birth through 20 years. Two screening tools have been added to this requirement.

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Reminder: Free Two-day Training Opportunity in Austin, TX: The Road to Recovery from Trauma

Support children with intellectual and developmental disabilities who have experienced trauma. Attendees will learn how to support children’s safety, well-being and recovery through trauma-informed practices.

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Featured Tip

How to Keep the Cash Flowing: Filing Claims with NDCs

We’re continuing our series of articles on ways to get paid quickly and efficiently. This month we’re sharing information about filing claims with National Drug Codes (NDC). Remember: claims accuracy is the first step to getting paid quickly!

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Education & Reference

Update: 2018 Quality Improvement Program Description and Work Plans

Blue Cross and Blue Shield of Texas works hard to live up to our core values and purpose. While we have had strong successes in 2017/2018, we recognize there are opportunities to improve care and better align our purpose and goals through planning.

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Reminder: Essential Aspects of THSteps and Well-child Exams

Review the required components that must be done during all THSteps and well-child exams.

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Health & Wellness

Health Tips to Share

Help your patients live a healthier life by sharing relevant wellness information with them. You can print individual articles, or point your patients to the websites so they can review topics that interest them. Anyone can access the websites; no login required.

ConnectConnect invites users to get answers, share information and gain knowledge on topics like well-being and health coverage through blogs, videos and downloadable content. Participants can create a profile and like posts, add their opinions in the comments and subscribe to content they’re interested in. Spanish content is available.

Have You Updated Your Provider Information?

Visit the BCBSTX provider website to update any changes to your address, telephone number, group affiliation, and/or any other material facts via the Provider Data Update Notification form. Also, update your information with Texas Medicaid & Healthcare Partnership via their Provider Information Change form.

News & Updates

For the most up-to-date information, view the News & Updates section of the BCBSTX provider website.

Link to BCBSTX Medicaid Website

On this website, you will find links to the provider manual, Quick Reference Guide, services requiring prior authorization and other useful information.

Contact Us

Eligibility, Benefits, Provider Network Referrals and Claim Status
Medicaid (STAR) and CHIP Customer Service: 1-877-560-8055, Monday - Friday, 8 a.m. - 8 p.m. CT
STAR Kids Customer Service: 1-877-784-6802, Monday - Friday, 8 a.m. - 8 p.m. CT

For general questions and concerns:
Email: TexasMedicaidNetworkDepartment@bcbstx.com
Phone: 1-855-212-1615
Fax: 1-512-349-4848

For member outreach inquiries, BCBSTX’s Medicaid (STAR), STAR Kids and CHIP members may contact Zenaida Martinez Nava, Senior Outreach Specialist/Member Advocate at 1-512-349-4880. If the member is unable to reach Sonia, please contact Maria Izquierdo at 1-512-349-4887.

For BCBSTX Medicaid (STAR), STAR Kids and CHIP quality inquiries, please contact Kathleen Thompson, Manager Medicaid Quality, at 1-512-349-4836.

For Electronic Visit Verification questions, please email BCBSTX_EVV_Questions@bcbstx.com.