ALERT: BCBSTX Reprocessing Claims for Recoupment for Nurse Practitioners and Clinical Nurse Specialists  

December 8, 2022

What’s New

Blue Cross and Blue Shield of Texas (BCBSTX) identified a payment error for our Nurse Practitioners (NP) and Clinical Nurse Specialists (CNS).We have been paying impacted   claims at the physician (Doctor of Medicine [MD] or doctor of osteopathy [DO]) rate rather than the reduced rate outlined in the TMHP manual.

What Dates are impacted

Dates of services from 09/01/2021-current.

Correct Payment

Nurse Practitioner (NP) and Clinical Nurse Specialist (CNS) should be paid according to Title 1 TAC §355.8281. The Medicaid rate for NPs and CNSs is 92 percent of the rate paid to a MD/DO for the same service and 100 percent of the rate paid to physicians for laboratory services, X-ray services, and injections.

Claims Reprocessing

Effective February 8, 2023, BCBSTX will reprocess impacted claims to recoup overpayments.

Questions

Providers, for questions or additional information, please: