Behavioral Health Services

Behavioral health can affect overall health. We want to help members get quality care for their mind and body. Behavioral health services are meant to help those facing:

  • Emotional problems
  • Mental illness
  • Substance abuse

Sometimes, one or more of these conditions may exist at the same time. Or they may exist in addition to a physical condition.

The type of service needed depends on the situation. A Care Coordinator can help members find out what services are covered. He or she can also let you know if the service will need to be preauthorized (approved before you go for the service). If you need a Care Coordinator, call 877-232-5518. Select option 3.

What is covered?

Here are just some of the services covered by this plan:

Covered ServiceApplies to:Does service need to be preauthorized?
Inpatient Psychiatric Hospital Services All ages Yes
Inpatient Professional Services All ages No
Outpatient Hospital Services All ages Yes
Evaluation All ages No
Psychological Testing All ages Yes, but services beyond core coverage may need a preauthorization
Counseling All ages No
Therapy All ages No, but services beyond core coverage may need preauthorization
Intensive Outpatient for Substance Abuse and Co-occurring Disorders All ages Yes
Residential Treatment Center (RTC) Under age 21 Yes, and services beyond core coverage may need preauthorization
Day Treatment Services Under age 21 Yes
School Based Counseling Under age 21 No
Pharmacy Services All Ages May be required based upon the drug prescribed

You do not need a referral from your PCP to get these services. For a complete list of covered services, see the Member Handbook pdf.

What is not covered?

Examples of services this plan does not cover include:

  • Hypnotherapy
  • Biofeedback
  • Experimental procedures or non-drug therapies
  • Services from non-licensed providers

For more information about behavioral health benefits, see the Member Handbook pdf.

New Mexico Crisis and Access Line (NMCAL)

NMCAL is available to New Mexicans during a mental health crisis. Use this state-wide toll-free phone line to access local help and resources. There are mental health professionals ready to help 24 hours a day, 7 days a week.

Call NMCAL at 1-855-NMCRISIS (1-855-662-7474).

If you have a life-threatening emergency, please call 911.

 
 

Contact Us

If you have questions about Blue Cross Community Centennial, call 866-689-1523. Members with hearing or speech loss can call the TTY/TDD line at 711. You can also email us.