Who is affected by this change?

This affects BCBS Texas Family Medicine, Internal Medicine providers in TX on All Plans plans.

When does this change take effect?

This change is effective Mar 9, 2026.

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All PlansReimbursementMedium impact

Reimbursement Policy Updates

BCBS Texas·TX · Family Medicine, Internal Medicine·Reimbursement

Effective date

Mar 9, 2026

We identified it

Jun 13, 2026

Days to comply

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Summary

Blue Cross Blue Star of Texas updated two reimbursement policies: RP005 Home Health Care Policy (effective March 9, 2026) and CPCPLAB044 Lyme Disease Testing (effective April 1, 2026). These policies describe payment rules and coding methodologies for covered services.

Action Required

Action needed

By March 9, 2026: Review updated RP005 Home Health Care Policy for any changes to billing requirements or documentation. By April 1, 2026: Review CPCPLAB044 Lyme Disease Testing policy for updated coding and payment guidelines. Billing team should access the full policy documents from BCBSTX provider portal to identify specific billing changes.