December 2018

Medical Policies: We Want Your Feedback

Medical policies, both new and revised, are used as guidelines to determine health care benefits for most Blue Cross and Blue Shield of Texas (BCBSTX) members, unless otherwise indicated. These policies may impact your reimbursement and your patients’ benefits. Approved, new, pending and revised BCBSTX medical policies and their effective dates are usually posted online the first day of each month.

Access BCBSTX Medical Policies

To view active, pending, updated and draft policies, go to the Medical Policies section of BCBSTX’s provider website.

After confirming your agreement with the Medical Policies disclaimer, you will be directed to the Medical Policies homepage.

You can access the Government Program policies on the left side of the page. At the top, you can filter policies by policy number or title, ICD-9, ICD-10, Current Procedural Terminology^® and Healthcare Common Procedure Coding System codes. There is also a search function available.

Provide Your Feedback on Draft Policies
Your input on our medical policies is welcomed.

To start, access the Draft Policies.
Click the title of the draft policy you wish to review.
Then click “Comment on this Policy” at the top right corner to submit your feedback to us.

Remember to visit the Medical Policies section of our provider website for access to the most up-to-date medical policy information.