MedicaidDocumentationMedium impact
Behavioral Health Documentation to be Reviewed for Medicaid Members
BCBS Texas·TX · Psychiatry·Government Programs
Effective date
Mar 9, 2026
We identified it
May 3, 2026
Summary
Blue Cross Blue Star (Texas) will conduct annual reviews of behavioral health medical records for Medicaid members (STAR, CHIP, STAR Kids) to ensure compliance with documentation standards. Providers must submit records upon request and are not reimbursed for record costs.
Action Required
Effective March 9, 2026: Behavioral health providers must ensure documentation compliance for STAR, CHIP, and STAR Kids members. Prepare to submit medical records via fax or mail when requested. Review Clinical Practice Guidelines for documentation standards. Ensure records include: confidentiality standards, treatment consent, demographics, allergies, medical/behavioral history, treatment plans, and discharge plans.