July 2019
Hot Topic
Coordinating Care Between Providers and Care Settings
Review the four specific points of coordination needed to ensure well-coordinated care among PCPs, specialists and emergency departments. Results from BCBSTX’s 2018 provider satisfaction survey are also available.
Read MoreFeatured Tip
The Importance of the ‘Catch-Up’ Immunization Schedule
Patients may fall behind on their immunizations for a variety of reasons. Depending on their age, older children may need boosters or additional immunizations to protect them from preventable diseases. We recommend following the CDC’s immunization schedule to get them caught up.
Read MoreClaims & Eligibility
Reporting On-Demand Application Available for Texas Medicaid via Availity® Provider Portal
Since May 20, registered Availity users can access Reporting On-Demand to view, download, save and/or print the Provider Claim Summary for claims processed on or after April 12, 2019. This online application allows you to get claim results for multiple patients in one central location.
Read MoreEducation & Reference
BCBSTX and Magellan Healthcare® Host Provider Brown Bag Series in Austin
Review the schedule to attend in-person meetings throughout 2019 in Austin on the following topics:
- Managing the Psychotic Patient and When to Refer to a Behavioral Health Provider
- Reducing Poly-Pharmacy in the Child and Adolescent Population
Electronic Visit Verification (EVV) Updates
EVV Training Modules Now Available
The Texas Health and Human Services Commission (HHSC) has developed an EVV toolkit to help with the expansion of EVV due to the 21st Century Cures Acts. All training toolkits can be found on Blue Cross and Blue Shield of Texas’ (BCBSTX’s) EVV web page. Training offers basic information, FAQs and tips. More training will be rolled out in 2019.
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 articles. 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.