|May 24, 2013 |
For Travis Service-Area Medicaid (STAR) & CHIP Providers
Welcome to the Blue Cross and Blue Shield of Texas (BCBSTX) Medicaid (STAR) & CHIP weekly newsletter. Thank you for participating in BCBSTX Medicaid (STAR) & CHIP programs.
Ancillary Training to HEDIS 101 for Providers Training
Blue Cross and Blue Shield of Texas (BCBSTX) Medicaid (STAR) and CHIP is hosting a HEDIS 101 for Providers presentation. The training will focus on:
Guest Presenter: Sara Daugherty-Pineda, RN, MSN, CPHQ
- Defining HEDIS
- What is the provider’s role?
- HEDIS measures
- HEDIS physician documentation
- and more . . .
Date: May 30, 2013
Time: Noon to 2 p.m.
Location: Marie Callender's, 9503 Research Blvd #400, Austin, TX 78759
RSVP Deadline: May 29, 2013, by noon; email email@example.com or call 512-349-4896
Lunch will be provided.
Only Medicaid attested providers and laboratories are eligible for reimbursement under the Medicaid Program. Providers must ensure referrals are to Medicaid attested providers and Medicaid attested laboratories. BCBSTX Medicaid (STAR) and CHIP is currently contracted with the following:
Clinical Pathology Laboratories
NTD Laboratories (Effective 6/1/2013)
Quest Diagnostic Clinic Lab
Advanced Imaging San Marcos
Austin Cancer Centers
Austin Open MRI, LLP
Austin Radiological Associates
Central Texas Imaging
Central Texas Open MRI
Preferred Imaging of Round Rock
River Ranch Radiology
South Austin Health Imaging, LLC
Synergy Advanced Imaging, Ltd.
HOSPITAL LAB AND IMAGING
Cedar Park Regional Medical Center
Central Texas Medical Center
Dell Children’s Medical Center
Little River Healthcare
North Austin Medical Center
Round Rock Medical Center
Seton Edgar B. Davis
Seton Highland Lakes
Seton Medical Center
Seton Medical Center Hays
Seton Medical Center Williamson
Seton Northwest Hospital
Seton Smithville Regional Hospital
St. David’s Georgetown Hospital
St. David’s Medical Center
St. David’s South Austin Medical Center
St. Marks Medical Center
University Medical Center Brackenridge
Attestation Form Now Available for Qualified Primary Care Providers to Receive ACA Rate Increase
To qualify for the Affordable Care Act of 2010 (ACA) rate increase for primary care services, a physician must have a specialty designation of general internal medicine, family practice, or pediatrics and must attest to one of the following.
The BCBSTX Medicaid (STAR) & CHIP weekly newsletter will no longer be issued on a weekly basis. The newsletter will now be issued on a bi-weekly basis beginning June 7, 2013.
Questions about Claims
If you have questions about claims status or how to file a claim, including how to complete claims forms, please contact the Customer Care Center at 888-292-4487.
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: http://bcbstx.com/provider/network/medicaid.html
Provider Customer Service: 888-292-4487, 7 a.m. to 6 p.m. CT, Monday through Friday
For general questions and concerns:
Jamye Rushing, firstname.lastname@example.org, 512-349-4876; Fax: 512-349-4848
Network Provider Representatives
Juanita Hill, email@example.com, 512-349-4896
Blanco, Burnet, Lampasas, Llano, Williamson (Georgetown)
Shelby Robinson, firstname.lastname@example.org, 512-349-4897
Austin County, Bell, Burleson, Lee, Milam, San Saba, Washington, Williamson (Round Rock)
Britton Thibodeaux, email@example.com, 512-349-4898
Bastrop, Caldwell, Colorado, Comal, Fayette, Gonzales, Guadalupe, Hays, Lavaca
Dee Culver, firstname.lastname@example.org, 512-349-4899
Travis, Williamson (except Georgetown, Round Rock)
Clinical Outreach & Education, Quality/Compliance
Kathy Clark, email@example.com, 512-349-4880
For Member Outreach inquiries, BCBSTX Medicaid (STAR) and CHIP members may contact
Sonia Saenz, Senior Outreach Specialist/Member Advocate, firstname.lastname@example.org, 512-349-4883
Senior Outreach Specialist/Member Advocate
Sonia Saenz, email@example.com, 512-349-4883
If unable to reach Sonia, please contact Member Outreach at 800-618-3084.