Blue Review
A newsletter for Medicaid providers

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.

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Focus 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.

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Education & 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
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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 Actsleaving_site Icon. 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 HHSCleaving_site Icon 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.

ConnectConnect 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.