What types of policy changes does BCBS Texas issue?

BCBS Texas regularly publishes coverage updates including prior authorization requirement changes, billing code additions or deletions, plan-type coverage modifications, and clinical policy revisions. PolicyChanges.app monitors these notices and summarizes the impact for providers.

How often does BCBS Texas update its policies?

BCBS Texas typically releases policy bulletins on a rolling basis throughout the year. Our system checks for new updates daily and adds them to this feed as soon as they are identified.

How many BCBS Texas policy changes are tracked here?

This page currently tracks 50 documented BCBS Texas policy changes. New items are added as they are identified.

What should I do when BCBS Texas changes a prior authorization policy?

Review each change's effective date and action-required notes. Update your billing and clinical workflows before the effective date to avoid claim denials. Each policy detail page on PolicyChanges.app includes a plain-English summary and action items.

BCBS Texas Policy Changes 2026 | Prior Auth & Coverage Updates

BCBS Texas Policy Changes & Prior Auth Updates

We track 50 documented policy changes from BCBS Texas across TX. Each entry includes an AI-generated plain-English summary, effective date, affected billing codes, and a direct link to the original BCBS Texas notice. Use the related links below to narrow results by specialty or state, or sign up for a free daily alert to receive new BCBS Texas updates automatically.

High impact

Preferred Drug Strategy for Medical Benefit Drugs with Therapeutic Equivalents or Alternatives To Be Covered Through Enhanced Prior Authorization

BCBS Texas·Effective Jan 1, 2026

Blue Cross Blue Shield of Texas is implementing enhanced prior authorization for certain medical benefit drugs (including Infliximab, Pegfilgrastim, Rituximab, and Trastuzumab biosimilars) administered in clinical settings. When submitting prior authorization requests for non-preferred drugs, providers will receive a list of preferred therapeutic equivalents or alternatives that must be considered first.

Avoid the Inappropriate Use of Antipsychotic Medication in Anxiety Disorders

Look for Your Medicare Advantage Access and Availability Survey

Quality Measures Help Track Our Members’ Heart Health

Clinical Payment and Coding Policy Updates

Prior Authorization Changes for Some Commercial and Government Program Members

Discuss Colon Health and Preventive Screening with Our Members

Verify Your Directory Information Every 90 Days

Reimbursement Policy Updates

Quality Measures Track Treatment and Follow-Up Visits for Substance Use Disorders

Reimbursement Policy Updates

Reinforce Prenatal and Postpartum Care to Support Whole Health

Claims Reminders for Behavioral Health Services

Verify Your Directory Information Every 90 Days

See Our BlueCard® Program Checklist for Out-of-Area Member Claims

Encourage Pediatric Well-Child Visits and Immunizations

Member Rights and Responsibilities

Provider Rights and Responsibilities

Encourage Medicare Members to Respond to Health Outcomes Survey

Esperta Health Offers Members Specialty In-Home Wound Care Services

Digital Access to Prior Authorization Decision Letters via Availity® Essentials

Avoid Imaging for Low Back Pain When Not Indicated

We’re Reviewing Prior Authorization Exemptions

Enhanced Prepay Review of Commercial Sepsis Claims to Begin

Prior Authorization Changes for Some Government Program Members

Post-Visit Surveys Support Medicare Advantage Member Experiences

Use Machinify’s TrueCost Portal to Submit Medical Records for Commercial Member Claims

Claim Review To Expand for Many Commercial Members

Change in Onboarding Process for New Providers, Effective Aug. 1, 2026

Screen Medicaid Members for Lead Exposure Before Their Second Birthday

Provide Records To Support Risk Adjustment Data Validation Audits for Medicare Advantage

Assess Childhood and Adolescent Weight and Nutrition and Activity Counseling

Quality Measures Track Diabetes Care

Coding for Diabetes Mellitus: Earn Continuing Education Unit

Changes to Our Prior Authorization Programs for Medicare Advantage

ClaimsXtenTM Code Update Effective March 16, 2026

Call for Preservice Requests for Applied Behavior Analysis for Commercial Members

See Updates to Our Fee Schedules

Two Annual Surveys Track Commercial Members’ Health Care Experiences

Encourage Medicare Advantage Members to Respond to Survey on Health Care Experiences

Preferred Drug Strategy for Medical Benefit Drugs with Therapeutic Equivalents or Alternatives To Be Covered Through Enhanced Prior Authorization

2026 Prior Authorization Exemption Renewal Results Now Available

Encourage Follow-up Care after Hospital Visits for Mental Health

No Referral Needed for Commercial Members to See In-Network Behavioral Health Provider

GeoBlue® Is Now Blue Cross Blue Shield Global Solutions℠

New Data on Quality Measures for Reporting Year 2024

Prior Authorization Changes for Some Commercial and Government Program Members, Effective April 1, 2026

See How to Request Help on Certain BlueCard® Claims

Providers with Unused Record IDs May Be Terminated from Networks

Behavioral Health Documentation to be Reviewed for Medicaid Members

Access Resource on 2026 Quality Measures in Availity® Essentials

We’re Reviewing Prior Authorization Exemptions