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BCBS TexasCommercial · Prior Auth · General · TX · Emergency Medicine, Critical CareHigh impact

Alacura to Manage Medical Transportation for TRS Participants, Effective June 1, 2025

Effective date
Jun 1, 2025
Identified
Jan 12, 2026

Summary

Effective June 1, 2025, Alacura will manage all air and ground medical transportation prior authorization, clinical review, and claim reviews for Teacher Retirement System (TRS) participants. Facilities and ambulance providers must contact Alacura immediately when transport decisions are made to ensure approval and coverage.

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What to do

Action · 4 steps
01Before June 1, 2025: All facilities and providers must establish workflows to contact Alacura immediately when medical transport decisions are made for TRS participants.
02Contact via phone (866-671-4834), fax (866-671-4995), or online.
03Ambulance providers must verify Alacura engagement before patient pickup.
04Update staff protocols to check eligibility through Availity Essentials to determine if prior authorization or clinical review is required.
If missed: Failure to engage Alacura may result in transport denial or non-coverage.

Original notice

Alacura to Manage Medical Transportation for TRS Participants, Effective June 1, 2025
bcbstx.com · Always check the source before changing claims.
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Related policy hubs

BCBS Texas policiesTX policy changesEmergency MedicineCritical Care

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