February 2019
Hot Topics
Rejection Notice Changes for Invalid NDCs on Electronic Government Program Claims
This article was removed due to a change in information and will be republished at a later date.
Featured Tip
How to Keep the Cash Flowing: Submitting Corrected and Duplicate Claims
Keep the cash flowing by reviewing the do’s and don’ts of submitting corrected and duplicate claims.
Read MoreFocus on Behavioral Health
Behavioral and Physical Health Integration Resources
Collaboration between PCPs and behavioral health providers is important to the overall health and quality of care for patients. Working together can decrease preventable ER visits and hospital admissions. Be sure to take advantage of our suggested resources to help increase this collaboration, including trainings, educational materials and community offerings from the Texas Health and Human Services Commission (HHSC), Texas Health Steps and Magellan Healthcare®.
Read MoreElectronic Visit Verification (EVV) Updates
EVV Training Modules Now Available
The Texas HHSC has developed an EVV toolkit to help with the expansion of EVV due to the 21st Century Cures Act. The first training module, EVV 101, offers basic information, FAQs and tips. More training will be rolled out in 2019, which can be accessed on BCBSTX’s EVV web page.
HHSC Notifications — Stay in the Know!
Make sure you’re periodically reviewing the Texas HHSC website for new notices about EVV that you should be aware of. You can also read the most recent EVV updates on BCBSTX’s EVV web page.
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.
Connect 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 and Updates
For the most up-to-date information, view the News and 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, Director, Quality Improvement, at 1-512-349-4836.
For Electronic Visit Verification questions, please email BCBSTX_EVV_Questions@bcbstx.com.