BCBS TexasMedium ImpactPrior Auth

Utilization Management Review Paused for Advanced Imaging Site of Care

Published January 12, 2026Effective February 7, 2025

AI 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.

Plan Types

All Plans

States

TX

Specialties

radiology, diagnostic-imaging, ortho, neurology, cardiology, oncology, all-specialties