• Centers for Medicaid & Medicare Services Initial Validation Audit

     View All

    Blue Cross Medicare Advantage
    HMO / PPO/ SNP

    Medicare Advantage plans that offer more comprehensive benefits at a lower cost for Medicare beneficiaries.

    Medicaid (STAR)
    CHIP and STAR

    BCBSTX Medicaid STAR, CHIP, and STAR Kids are in multiple Service Areas within Texas.

    Download Service Area PDF PDF Document


    Medical and pharmaceutical policies help determine benefits coverage. Explore policies and drafts in process.

      • Blue Review
      • CMS Notifications Medicare Advantage Plans
      • 01/19/18 2018 Updates to the Blue Cross Medicare Advantage (PPO)SM and Blue Cross Medicare Advantage (HMO)SM Preauthorization Lists
      • 01/18/18 BCBSTX HMO Plans – PCP Selection and Referral Requirements PDF Document
      • 01/12/18 ERS Chiro, PT, OT, ST Therapy Prior Authorization/Referral Update
      • 01/03/18 DNoA Connect, the Provider Self-Service Tool for BlueCare DentalSM, is Now Available
      • 01/02/18 Colon Cancer Screenings -Will You Commit