Prior Authorization Exemptions Reviewed for July 1 through Dec. 31, 2024
AI Summary
BCBSTX has completed their review of providers for prior authorization exemptions under Texas HB3459 for the July 1 through December 31, 2024 period. Providers who qualified for exemptions must submit notifications through Availity Essentials to determine initial length of stay or units exempted, with services beyond initial coverage still subject to medical necessity review.
Action Required
Immediately: Check Provider Correspondence Viewer in Availity Essentials' BCBSTX payer space to view your prior authorization exemption status. If exempted, submit notifications through Availity Essentials or call the member ID card number to determine initial length of stay or units covered. Continue concurrent review requirements for services beyond initial exemption coverage.
Plan Types
Commercial
States
TX
Specialties
all-specialties