Provider Manuals

Manuals for Physicians, Professional Providers, Facility and Ancillary Providers

• Blue Cross and Blue Shield of Texas (BCBSTX) Provider Manuals are reference tools for providers.
• These manuals set forth the detailed policies, procedures and requirements necessary for participation in the BCBSTX contracting provider networks.

Note: In the event of a conflict between the manual and the provider's contract, the contract will govern.

We update these manuals periodically when new information becomes available. You can print the manuals or their sections, but it is important to refer to the BCBSTX provider website for the most current and complete version.

Blue Choice PPO^SM and Blue High Performance Network^SM Provider Manual

Blue Cross Medicare Advantage (HMO)^SM Supplement  

Blue Cross Medicare Advantage (PPO)^SM Supplement 

Blue Essentials ^SM, Blue Advantage HMO^SM, Blue Premier^SM and MyBlue Health^SM Provider Manual

Medicaid (STAR) and CHIP and Medicaid Star Kids Provider Manuals