Who is affected by this change?

This affects BCBS Texas Psychiatry providers in TX on All Plans plans.

When does this change take effect?

This change is effective May 12, 2026.

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All PlansAdministrativeMedium impact

Claims Reminders for Behavioral Health Services

BCBS Texas·TX · Psychiatry·Reimbursement

Effective date

May 12, 2026

We identified it

Jun 13, 2026

Days to comply

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Summary

BCBS Texas issued updated billing reminders for behavioral health providers emphasizing proper NPI usage, supervision requirements for trainees, and documentation standards. Key points include no pass-through billing under someone else's NPI, mandatory direct supervision of trainees, and future implementation of an HL modifier for trainee services.

Action Required

Action needed

Immediately: Behavioral health providers must ensure all claims are billed under the correct rendering provider's NPI - no pass-through billing allowed. Verify trainee supervision meets direct personal supervision requirements (supervisor in immediate vicinity 100% of time). Review current billing practices to ensure compliance with documentation guidelines referenced in CPCP029. Do not use HL modifier until BCBSTX provides notification.