Behavioral Health Documentation to be Reviewed for Medicaid Members
AI Summary
Blue Cross Blue Shield of Texas will conduct an annual review of behavioral health medical records for Medicaid members (STAR, CHIP, and STAR Kids) to ensure compliance with documentation standards. Selected providers will be notified by mail and must provide requested records electronically or by fax/mail without reimbursement for record costs.
Action Required
Immediately: Behavioral health providers must ensure all Medicaid member records comply with documentation standards including confidentiality/security standards, consent for treatment and medications, demographic information, allergies, medical/behavioral health history, treatment plans, and discharge plans. If selected for review, respond promptly to mail notifications and provide requested records via electronic health records, fax, or mail as specified. Note that patient authorization is not required and record costs will not be reimbursed.
Plan Types
Medicaid
States
TX
Specialties
psychiatry