June 2019
Hot Topic
Medicaid Member Rights and Responsibilities
Blue Cross and Blue Shield of Texas (BCBSTX) has posted its Medicaid Member Rights and Responsibilities on the BCBSTX provider website. This is an annual posting to ensure our provider community remains informed of our Medicaid Member Rights and Responsibilities.
Featured Tip
Infant and Early Childhood Developmental Surveillance and Screening Components of the THSteps Checkup
One of the required components of a Texas Health Steps (THSteps) checkup is developmental surveillance. This requirement is divided into separate, but related components. To ensure you’re covering all components, make sure you’re following the most up-to-date THSteps Medical Checkup Periodicity schedule.
Read MoreFocus on Behavioral Health
June Is Post-Traumatic Stress Disorder Awareness Month; Access Behavioral Health Toolkit
To ensure accurate diagnosis, care and treatment of your patients, Magellan Healthcare® has provided a Medical Providers’ Behavioral Health Toolkit to assist in making behavioral health referrals.
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:
- Assessing Childhood Maladaptive Behaviors – Is this ADHD?
- 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.