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Clinical Resources


Behavioral Health Care Management Program

Blue Cross and Blue Shield of New Mexico (BCBSNM) manages behavioral health services for all members who have behavioral health benefits through BCBSNM. Learn More


Blue Care Connection® Condition Management Programs

Blue Care Connection Condition Management Programs are designed to help you enhance the care you provide to BCBSNM members with asthma, diabetes, coronary artery disease, congestive heart failure, COPD; and help reduce morbidity and avoid complications associated with these chronic conditions. Learn More


Care Van Program

The Care Van initiative is a community partnership program. BCBSNM provides the program at no cost to support the outreach efforts of partnering organizations. BCBSNM staffs the program with a full-time coordinator who oversees the schedule, drives the van to service sites, and provides basic logistical support. The New Mexico Department of Health Public Health Division is BCBSNM's primary partner and uses the Care Van to improve outreach to underserved rural communities throughout New Mexico. Learn More


Case Management Services

BCBSNM case managers can offer assistance to members and their families who are facing a serious illness or injury. Our case managers are dedicated professionals with the qualifications and knowledge of member benefits and patient rights essential for navigating members through the sometimes complex maze of medical care. Learn More 


Childhood Obesity Provider Toolkit

The percentage of overweight children has more than tripled in the last three decades. The incidence of type 2 diabetes has increased concomitantly. In New Mexico, the prevalence of overweight and obesity is particularly alarming. Learn More


Clinical Practice Guidelines

Clinical Practice Guidelines 


Diabetes Guidelines and Resources

Resources were developed by New Mexico Health Care Takes On Diabetes , a collaborative of health care plans and providers. Learn More


Medical Records Documentation

Medical Records Documentation Standards 


Physician's Guide to Radiology Quality Initiative (RQI)

BCBSNM has partnered with AIM Specialty HealthSM to implement a RQI program designed to meet the challenges of monitoring rapidly increasing utilization and managing rising high-tech imaging costs.  Learn More


Preventive Care Guidelines

View the Preventive Care Guidelines for Clinicians as well as wellness guidelines for adults and children. Learn More