BCBS TexasLow ImpactAdministrative
Use Simplified Referral Form for American Indian/Alaska Native Limited Cost Share Plans
Published January 12, 2026Effective June 3, 2025
AI Summary
Blue Cross Blue Shield of Texas simplified the Limited Cost-Sharing Referral form for American Indian/Alaska Native members. I/T/U facilities now only need to submit one referral per patient that covers all services for the entire year, and referral provider information was removed from the front page.
Action Required
Immediately: Billing staff should use the updated simplified referral form when processing referrals from Indian Health Service, Tribal, and Urban Indian facilities for American Indian/Alaska Native members on limited cost-sharing plans. Ensure all form fields are completed to avoid processing delays.
Plan Types
Commercial
States
TX
Specialties
all-specialties