11/18/2024
Important Information
Blue Cross and Blue Shield of Texas received the directed payment program rates the first week of October and fiscal year 2025 rate should load by Dec. 1, 2024.
Since the contract amendment that reflects the expectation for CHIRP rates is effective Dec. 1. 2024, BCBSTX will have 60 business days from Dec 1, 2024, to retroactively adjust claims with dates of discharge on or after Sept. 1, 2024.
BCBSTX should complete reprocessing claims as soon as possible, but no later than Monday, March 3, 2025.
Questions
Providers, for questions or additional information, please:
- Contact your BCBSTX Medicaid Provider Network team at 1-855-212-1615
- Submit via email Texas Medicaid Network Department