PEAQ^SM Physician Performance Insight Reports Are Now Available

PPI reports for our Physician Efficiency, Appropriateness, & Quality^SM program are ready for eligible Texas physicians to access online. Reports are available for physicians in certain specialties who provided care to a minimum number of our members in the report time frame. View reminders and links to related resources.

Prior Authorization Exemptions Reviewed for Jan. 1 through June 30, 2025

To view the latest notices, refer to the Provider Correspondence Viewer in Availity^® Essentials’ payer spaces for Blue Cross and Blue Shield of Texas.

Review New Claims Editing Rules

We’re updating the Lyric software database in November 2025 to better align coding with claim reimbursements. See what’s changing.

Encourage Human Papillomavirus Vaccination to Protect Against Cancers Later in Life

Providers are parents’ most trusted source of information on the HPV vaccine for adolescents, according to the Centers for Disease Control and Prevention. See the CDC’s tips on discussions with caregivers.

Avoid Antibiotics for Acute Bronchitis and Other Viruses

Antibiotics don’t work against viruses and can cause side effects and antimicrobial resistance. Learn about a Centers for Disease Control and Prevention event on Sept. 16, 2025, on antibiotics awareness.

Use Shared Decision‑Making Aids to Help Guide Care Choices

Our members may have better patient experiences and outcomes when they participate in their care. Learn about evidence‑based aids that can help involve your patients.

Explore Learning Opportunities

We offer free training for providers who participate in our networks. Review and sign up for sessions, including a webinar on medication for opioid use disorder.

Medicaid Providers May Request Extension for Prior Authorizations Due to Texas Flooding

You may request a 90‑day extension for existing prior authorizations for Medicaid patients with BCBSTX who have been affected by the floods in Central Texas.

Conduct Developmental Screening During Well‑Child Visits

Standardized screening during Texas Health Steps well‑child visits can help detect developmental delays. See our tip sheet with billing and documentation information.

Annual Chlamydia and Gonorrhea Screening Recommendations

Screenings may be performed at routine annual preventive visits and acute care visits. Review recommendations and tips to close care gaps.

Monitor Metabolic Health for Children on Antipsychotics

These medications can elevate the risk of developing serious metabolic health complications in adulthood. Blood glucose and cholesterol testing can help monitor metabolic health.

Stay Updated on Medicaid News

You can find information for STAR, STAR Kids and CHIP in Medicaid News and Updates.

Watch for Updated Out‑of‑area Member ID Cards Without Suitcase Logo

Some Blue Cross and Blue Shields Plans have begun updating their member ID cards to remove the suitcase logo. Learn about the change.

See Pharmacy Program Quarterly Update — Part 1

Changes were made to our drug lists and utilization management program. Learn about these and other pharmacy program updates.

Learn About Updates to Clinical Payment and Coding Policies

We regularly add and modify CPCPs as part of our ongoing policy review. See which policies were updated and when.

Review Medical Policy Updates

Approved new or revised medical policies and their effective dates are usually posted on our website the first and 15th of each month. You can view all active and pending policies, as well as draft medical policies, and provide comments on draft policies. These policies may impact your reimbursement and your patients’ benefits.