All PlansPrior AuthMedium impact
Utilization Management Review Paused for Advanced Imaging Site of Care
BCBS Texas·TX · Oncology, Neurology, Radiology +2 more·Prior Authorization
Effective date
Feb 7, 2025
We identified it
Jan 12, 2026
Summary
Blue Cross Blue Shield of Texas has paused expanded utilization management reviews for Advanced Imaging Site of Care services that were scheduled to begin January 1, 2025. This pause does not affect prior authorization requirements for medical necessity reviews of advanced imaging procedures.
Action Required
Monitor BCBSTX News and Updates and Blue Review for future announcements regarding when utilization management reviews for Advanced Imaging Site of Care will resume. Continue obtaining prior authorization for advanced imaging medical necessity as usual - only the expanded site of care reviews are paused.