Provider Manuals

Refer to the COVID-19 Preparedness page for temporary information related to servicing members in response to COVID-19.

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 PPOSM and Blue High Performance NetworkSM Provider Manual

Blue Cross Medicare Advantage (HMO)SM Supplement  PDF Document

Blue Cross Medicare Advantage (PPO)SM Supplement PDF Document

Blue Essentials SM, Blue Advantage HMOSM, Blue PremierSM and MyBlue HealthSM Provider Manual

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