Behavioral Health Services No Longer Administered by Magellan Healthcare®, Effective Jan. 1, 2026
AI Summary
Effective January 1, 2026, Blue Cross Blue Shield of Texas (BCBSTX) will take over administration of behavioral health benefits from Magellan Healthcare for Blue Advantage HMO and MyBlue Health members. Providers must follow standard BCBSTX processes for eligibility verification, prior authorization, and claims submission for behavioral health services.
Action Required
By January 1, 2026: Billing team must verify contracts with Blue Advantage HMO and MyBlue Health networks. Update workflows to use Availity Essentials for eligibility verification, prior authorization through BlueApprov RSM, and submit behavioral health claims directly to BCBSTX instead of Magellan. Train staff to direct claims inquiries to Availity or member ID card number. Note: Existing Magellan authorizations will be honored for 180 days during transition period.
Plan Types
Commercial
States
TX
Specialties
psychiatry