- COVID-19 Preparedness
- Blue Review
- 06/15/2022 Reminder: Initiation of Substance Use Disorder Provider Enhanced Payment Program Blue Cross Community CentennialSM
- 06/15/2022 Provider Access and Availability Survey
- 06/14/2022 Flex and Open Access for Medicare Patients and Providers
- 06/14/2022 CT Contrast Shortage
- 06/10/2022 Member Rights and Responsibilities
- 06/10/2022 Provider Rights and Responsibilities
- 06/10/2022 Catch Up on Routine Vaccines and Well-Child Visits
- 06/06/2022 In-home Test Kits for Colorectal Cancer Screening
- 06/03/2022 Provider Satisfaction Survey 2022
- 06/03/2022 Pricing Information to Display Starting in July
- 05/09/2022 CPT Codes Updated for PA, Eff July 1
- 05/09/2022 CPT Codes Updated for PA for MA Programs, Eff July 1
- 05/09/2022 2022 NM Annual NDC Drug Fee Schedule Impact and Timeline
- 05/09/2022 Managing Diabetes
- 05/06/2022 Earn Continuing Education Credit at Webinar on Avoiding Inappropriate Antibiotic Use
- 05/05/2022 ClaimsXten™ Quarterly Update Reminder
- 05/05/2022 Availity® Essentials Claim Status Tool Update
- 05/05/2022 Submit Multiple Clinical Claim Appeal Requests Online
- 05/05/2022 Education information Requirement for Directory
- 05/05/2022 Behavioral Health Collaboration Requests
- 05/05/2022 Reminder: Closing Gaps in Care for Group Medicare Advantage Members
- 05/05/2022 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2022 – Part 1
- 05/05/2022 Preferred Drug Program
- 04/28/2022 Avalon Program Postponement
- 04/08/2022 New 'Message This Payer' Option Coming Soon via Availity® Essentials
- 04/08/2022 NM Provider Pharmacy Changes Effective April 2022- Part 2
- 04/08/2022 Follow-Up Care for Substance Abuse Disorders
- 04/08/2022 Credentialing Requirements for Facility-Based Providers
- 04/08/2022 Gender Code Reminder- Coding for Breast Augmentation and Removal for Gender Affirming Surgery
- 04/08/2022 Current Procedural Terminology® (CPT) Codes Updated for Prior Authorization for Medicare programs, Effective July 1
- 04/08/2022 BCBSNM Supporting Care During and After Pregnancy
- 04/08/2022 BCBSNM Avalon Second Launch Training Reminder
- 03/28/2022 Advisory on Telemedicine Services – Place of Service (POS) Codes
- 03/28/2022 Third-Party Liability Claims Processing for Blue Cross Community Centennial(SM)
- 03/28/2022 Training, Access the New Lab Management Program Trial Tool April 1, 2022
- 03/18/2022 Changes Coming to FEP Out-of-State Claims Processing
- 03/18/2022 Surprise Billing Provisions of No Surprises Act - Updated
- 03/11/2022 Closing Gaps in Colon Care
- 03/11/2022 Supporting Mental Health
- 03/11/2022 Free Behavioral Health Webinars and Continuing Education Credit
- 03/07/2022 ClaimsXtenTM Quarterly Update Reminder
- 03/07/2022 Current Procedural Technology® (CPT) Codes Updated for Prior Authorization
- 03/04/2022 CMS Payment Adjustments for Medicare Providers Extended Through March 31, 2022
- 03/03/2022 Verify and Update your Information Online with Availity® Provider Data Management
- 03/03/2022 All Contracted Providers Will Now Display in Provider Finder®
- 02/17/2022 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Apr. 1, 2022 - Part 1
- 02/07/2022 Differential Diagnoses of Depression
- 02/07/2022 Closing Gaps in Care for Group Medicare Advantage Members
- 02/03/2022 New Laboratory Management Program to Begin On May 1, 2022
- 01/26/2022 It’s Time - Verify Your Directory Details
- 01/26/2022 Supporting Healthy Hearts
- 01/20/2022 Behavioral Health Cost Share Waiver for Some BCBSNM Members Begins Jan. 1, 2022
- 01/18/2022 Update - New Lab Policies and Laboratory Management Program Delayed
- 01/13/2022 2022 Annual HEDIS® Medical Record Review Begins February 2022
- 01/13/2022 Delivering Quality Care: Cervical and Breast Cancer Screenings
- 01/13/2022 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Jan. 1, 2022 – Part 2
- 01/13/2022 EXL Health Is Reviewing Complex Claims
- 01/10/2022 Blue Cross Community CentennialSM Prior Authorization Update for MSK Therapies (Rehab) effective March 13, 2022, and Training Webinars
- 01/05/2022 Reminder: Claim Editing Enhancements Coming in 2022, Register for a Training Webinar
- 12/30/2021 Current Procedural Terminology® (CPT) Codes Updated for Prior Authorization
- 12/30/2021 Current Procedural Terminology® (CPT) Codes Updated for Prior Authorization for Medicare programs
- 12/30/2021 Availity® Tools to Support Providers in 2022
- 12/27/2021 New Lab Policies and Laboratory Management Program Delayed
- 12/23/2021 OSI Emergency Order for LTC Transfer PA
- 12/21/2021 Behavioral Health Cost Share Waiver for Some BCBSNM Members Begins Jan. 1, 2022
- 12/17/2021 Chiropractic & Mixed Therapy Benefits Contained in IVR Phone System as of Jan. 3, 2022
- 12/09/2021 Claim Editing Enhancements Coming April 1, 2022
- 12/07/2021 Patients in the Qualified Medicare Beneficiary Program Should Not Be Billed
- 12/07/2021 Hospitals Must Provide Medicare Outpatient Observation Notice
- 12/07/2021 Rural Health Clinics and Federally Qualified Health Centers May Meet Quality Measure
- 12/07/2021 Webinar on Avoiding Antibiotics Overuse
- 12/07/2021 COVID-19 Vaccine Billing for Medicare Advantage Members
- 12/07/2021 Current Procedural Terminology (CPT®) Codes Updated for Prior Authorization, Jan. 1, 2022
- 12/06/2021 Behavioral Health Cost Share Waiver for Some BCBSNM Members Begins Jan. 1, 2022
- 12/06/2021 New Flexible Medicare Advantage PPO Plan
- 11/26/2021 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Jan. 1, 2022 – Part 1
- 11/24/2021 COVID-19 Vaccine Billing for Medicare Advantage Members
- 11/24/2021 Current Procedural Terminology (CPT®) Codes Updated for Prior Authorization
- 11/24/2021 Current Procedural Terminology (CPT®) Codes Updated for Prior Authorization for Medicare programs
- 11/24/2021 Single Sign-On Access to AIM Specialty Health® via Availity®
- 11/24/2021 View Withdrawn Claim Descriptions via the Availity® Claim Status Tool
- 11/24/2021 Watch for a Letter on Fighting Fraud, Waste and Abuse
- 11/19/2021 New Provider Designations and Services Forms for Provider Onboarding Applications
- 10/25/2021 Claim Editing Enhancements Coming Jan. 10, 2022
- 10/22/2021 Catch Up on Vaccines for All Ages
- 10/20/2021 Continuity of Care Changes
- 10/20/2021 Machine-Readable Files
- 10/20/2021 New Information on Member ID Cards
- 10/20/2021 Provider Directory Information Verification
- 10/20/2021 Surprise Billing Provisions of No Surprises Act
- 10/20/2021 Initiation of Substance Use Disorder Provider Enhanced Payment Program Blue Cross Community CentennialSM
- 10/20/2021 Provider Incentive Program for Weight Assessment and Counseling for Children and Adolescents - Blue Cross Community CentennialSM
- 10/20/2021 2022 Telemedicine Services
- 10/20/2021 New Laboratory Policies Coming Jan. 1, 2022
- 10/20/2021 Avoiding Antibiotics for Acute Bronchitis
- 10/20/2021 Managing Diabetes
- 10/20/2021 Introducing Electronic Clinical Claim Appeal Requests via Availity® Provider Portal for Federal Employee Program® (FEP®) and Blue Cross Community CentennialSM claims
- 10/18/2021 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Oct. 1, 2021 – Part 2
- 09/15/2021 In-Home Diabetes Monitoring Tests Coming to Select Blue Cross Community CentennialSM Members
- 09/08/2021 Coding Cancer and Cancer-Related Treatments
- 09/08/2021 Obesity and Morbid Obesity
- 09/08/2021 Change to Some Primary and Secondary Claims Coordination
- 09/08/2021 Are you using these shared decision-making aids?
- 09/08/2021 Coverage Replacement for Smoking Cessation Product CHANTIX® Due to Voluntary Recall
- 09/08/2021 Managing Diabetes
- 09/03/2021 Reminder: Use AIM for Prior Authorization - Coming for Pharmacy Medical Oncology
- 08/17/2021 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Oct. 1, 2021 – Part 1
- 08/17/2021 Availity® Claim Status Response Enhancement for Medicare Advantage Claims
- 08/05/2021 NM DOH Announces Second Round of Incentives for COVID-19 Vaccines
- 07/12/2021 Prior Authorization Update - Pharmacy Medical Oncology
- 07/12/2021 View Professional Provider Fee Schedule via Availity® – Coming Soon
- 07/11/2021 National Drug Code (NDC) Fee Schedule Changes Effective Sept. 1, 2021
- 07/11/2021 Colorectal Cancer Screening for Members Age 45 to 75
- 06/24/2021 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July.1, 2021 – Part 2
- 06/08/2021 Prepayment Reviews on Inpatient DRG Claims for BlueCard members
- 05/28/2021 In-Home Test Kits for Colorectal Cancer Screening
- 05/28/2021 Free Webinar and CME on Depression
- 05/28/2021 Catch Up Now on Child and Adolescent Vaccinations
- 05/27/2021 BCBSNM Members Have New Mail Order and Specialty Pharmacies as of May 1, 2021
- 05/13/2021 EXL Health to Review Complex Claims July 1, 2021
- 05/13/2021 National Drug Code (NDC) Fee Schedule Change for Octagam (J1568)
- 05/13/2021 Reminder: Single Access Point for EFT and ERA Enrollments
- 05/12/2021 Delivering Quality Care: Treating Substance Abuse
- 05/10/2021 COVID-19 Vaccine Administration Reimbursement – HSD Supplement 16
- 05/10/2021 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2021 – Part 1
- 05/06/2021 Cervical Cancer Screening May Save a Life
- 05/06/2021 Caring for the Colon
- 05/05/2021 New Applied Behavior Analysis (ABA) Service Request Forms
- 04/15/2021 Select Medication List to be Updated June 1, 2021
- 04/09/2021 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective April.1, 2021 – Part 2
- 04/09/2021 Reminder: eviCore to Manage Prior Authorization Appeals Process through April 2021 for 2020 Adverse Determinations
- 04/08/2021 Some Codes Removed from AIM® Prior Authorization
- 03/19/2021 Updates Made to the Provider Reference Manual
- 03/12/2021 Single Access Point for 835 EFT and ERA Enrollments
- 03/01/2021 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Apr. 1, 2021, Part 1
- 02/16/2021 Atrial Fibrillation
- 02/16/2021 Diabetes Mellitus
- 01/05/2021 Healthcare and Related Personnel Eligible for Phase 1a Vaccinations
- 12/29/2020 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Jan.1, 2021 – Part 2
- 12/23/2020 Comprehensive Care Plans to be Emailed or Faxed
- 12/23/2020 Quality Health Standards –Prenatal and Postpartum Visits
- 12/22/2020 COVID-19 Vaccines and Coverage
- 12/17/2020 Billing Reminders for Psychological and Neuropsychological Testing
- 12/17/2020 Revision to Specialty Medication Administration Site of Care Policy, Effective Jan. 1, 2021
- 12/17/2020 Outpatient Provider Incentive Program for Behavioral Health Follow-up Visit
- 12/15/2020 Obtain BCBSNM Patient ID Numbers Online via Availity® – Now Available for Government Programs
- 12/15/2020 View, Download and Print the BCBSNM Member's ID Card Online via the Availity® Provider Portal
- 12/15/2020 Verify Multiple Patient's Eligibility and Benefits Coverage via Availity®
- 12/15/2020 New Electronic Duplicate Claim Rejections for Commercial Claims Effective Nov. 14, 2020
- 12/15/2020 Submit Electronic Professional and Facility Claims via the Availity® Provider Portal
- 12/15/2020 Patients in the Qualified Medicare Beneficiary (QMB) Program Should Not Be Billed
- 12/15/2020 Hospitals Must Provide Medicare Outpatient Observation Notice (MOON)
- 12/14/2020 Coverage for Coronary Artery Calcium Scan for Cardiovascular Disease Risk Assessment
- 12/11/2020 Transition of Care: Prior Authorization Changes from eviCore to AIM for Some Members effective Jan. 1, 2021
- 12/11/2020 Providers receiving bamlanivimab for free should not bill for the product
- 12/10/2020 BCBSNM will update CPT® codes for some prior authorization services effective Jan. 1, 2021
- 11/17/2020 New HEDIS® Tip Sheets for Behavioral Health HEDIS Measures: APM and UOP
- 11/16/2020 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Jan. 1, 2021, Part 1
- 11/05/2020 Availity® Provider Portal Offerings
- 10/29/2020 BCBSNM Moving Prior Authorization Duties from eviCore to AIM Effective Jan. 1, 2021, for Some Members
- 10/22/2020 Continuity and Coordination of Care - Free Webinar and Continuing Education Credit for Providers
- 10/12/2020 Provider Finder® Gets an Upgrade
- 10/12/2020 Telemedicine – Future State
- 10/08/2020 Updates and Reminders: Submit Predetermination of Benefits Submission via Availity®
- 10/08/2020 Availity Claim Status Tool Now Available for All BCBSNM Members
- 09/29/2020 New national high-performance network to launch in January
- 09/29/2020 New HEDIS® Tip Sheets* Behavioral Health HEDIS Measures: FUA and FUM
- 09/28/2020 Itemized Bills Required for BlueCard® Facility Claims Over $100k
- 09/28/2020 Clinical Practice and Preventive Care Guidelines Updated for 2020-2021
- 09/28/2020 Childhood Immunization Rates Fall Amidst Pandemic Fears
- 09/18/2020 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Oct.1, 2020 – Part 2
- 09/17/2020 What You Need to Know About Substance Abuse - Free Webinar and Continuing Education Credit for Providers
- 09/14/2020 In-Home Diabetes Monitoring Tests Coming to Select Blue Cross Community CentennialSM Members
- 09/11/2020 Verify Procedure Code Preauthorization Requirements and Submit the Request via Availity®
- 09/04/2020 Census 2020
- 09/02/2020 Updated Behavioral Health Measures from HEDIS® 2020-21*
- 08/31/2020 Telehealth Visits – Medicare Advantage
- 08/31/2020 Obtain BCBSNM Patient ID Number Numbers Online via Availity®
- 08/27/2020 Blue Distinction® Message via the Availity® Eligibility and Benefits Results
- 08/19/2020 Physical Therapy Benefits to be Contained Within the IVR Phone System as of Sept. 8, 2020
- 07/31/2020 iExchange® Will Be Deactivated on Aug. 17, 2020
- 07/31/2020 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Oct. 1, 2020, Part 1
- 07/31/2020 Depression? How Do You Know? Free Webinar and Continuing Education Credit for Providers
- 07/30/2020 Blue Cross Medicare Advantage Prior Authorization Updates effective Sept. 1, 2020
- 07/30/2020 Addition of New Prior Authorization Requirements for Blue Cross Community CentennialSM Members
- 07/28/2020 Threshold Amount for Claims Review for Blue Cross Community CentennialSM Members
- 07/27/2020 Submit Predetermination of Benefit Requests via the Availity®
- 07/24/2020 Overpayment Recovery Process for Contracted Providers
- 07/24/2020 Colorectal Cancer Screening at Home
- 07/24/2020 Imaging Studies for Low Back Pain for FEP Members
- 07/24/2020 Two New Behavioral Health Measures Tip Sheets
- 07/22/2020 Retainer Payments for Personal Care Services Providers - Special COVID LOD #12; Community Benefit, Appendix K
- 07/02/2020 CMS Payment Adjustments for Medicare Providers
- 07/01/2020 Federal Agencies Extend Timely Filing and Appeals Deadlines
- 06/17/2020 New Email Address for Prior Authorization Appeals Changing Effective July 1, 2020
- 06/15/2020 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2020 – Part 2
- 06/10/2020 BCBSNM will update CPT® codes for some preauthorization services
- 06/08/2020 COVID-19 Coverage Updates for Medicare Providers
- 05/26/2020 Calls to Electronic Commerce Services will be Redirect to Email as of June 15, 2020
- 05/19/2020 COVID-19 Initiatives Extended into June
- 05/14/2020 Extending Prior Authorization on Previously-Approved Elective Surgeries, Procedures and Therapies (Updated)
- 05/13/2020 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2020, Part 1
- 04/29/2020 Making It Easier to Access Chest CT Scans
- 04/29/2020 BCBSNM Making It Easier to Transfer Members to Post-Acute Care
- 04/24/2020 Blue Cross and Blue Shield of New Mexico Further Expands Telemedicine to All In-Network Providers
- 04/20/2020 CARES Act Provider Relief Summary
- 04/15/2020 Extending Prior Authorization on Previously-Approved Elective Surgeries, Procedures, and Therapies
- 04/14/2020 Alert: iExchange® Deactivation Extended Due to COVID-19
- 04/10/2020 New Guidance and Recommendations for Personal Care Services Providers
- 04/10/2020 BCBSNM Waives Customer Cost-Sharing for COVID-19 Treatment
- 04/08/2020 New Mexico Human Services Department Issues Special COVID-19 Supplement #3 “Guidance for New Mexico Medicaid Providers” to MAD NMAC Program Rules
- 04/07/2020 New Mexico Human Services Department Issues Letter of Direction #31 – COVID-19 Guidance for Centennial Care 2.0 Managed Care Organizations Repeal & Replace LOD #30
- 04/02/2020 A letter to Behavioral Health Providers from HSD Director of Behavioral Health Services Division Neal Bowen
- 03/31/2020 Reminder: iExchange® Deactivating on April 15, 2020 – Use the Availity® Authorizations Tool
- 03/30/2020 Using Telemedicine and Telehealth in Response to COVID-19
- 03/27/2020 Medicare Advantage Provider Call Center Lines Experiencing Longer Hold Times
- 03/27/2020 Temporary Changes for In-Home Services, Community Benefits, and Nursing Facility Level of Care Determinations
- 03/27/2020 New Mexico Human Services Department Issues Letter of Direction #30 – COVID-19 Guidance for Centennial Care 2.0 Managed Care Organizations
- 03/19/2020 New Mexico Centennial Care 2.0 Letter of Direction #30 - COVID-19 Guidance for CC 2.0 MCOs
- 03/19/2020 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective April 1, 2020 – Part 2
- 03/17/2020 Clarification: New BCBSNM 837 Commercial Claim Validation Edits Effective April 1, 2020
- 03/11/2020 COVID-19 Preparedness in New Mexico
- 03/03/2020 New BCBSNM 837 Commercial Claim Validation Edits
- 03/02/2020 Three New ClaimsXtenTM Rules to be Implemented June 2020
- 02/27/2020 CMS Star Ratings Matter: Survey to Assess Medicare Advantage Members’ Experiences
- 02/26/2020 Obtain Your Provider Claim Summary (PCS) Online – PCS Mailing Discontinuation as of May 4, 2020
- 02/19/2020 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective April 1, 2020, Part 1
- 02/18/2020 Resolved: Electronic Payment and Remittance Delivery Delay
- 02/17/2020 New Authorizations Tool via Availity Provider Portal®: Revised Launch Date of Feb. 17, 2020
- 02/14/2020 Electronic Payment and Remittance Delivery Delay
- 02/06/2020 Prior Authorization Changes for ID Prefixes BBE, BHP, BNK, BRG and BYR
- 01/30/2020 Implementation Delay: Authorizations via Availity® Provider Portal
- 01/22/2020 Eight Steps Toward Health Equity in Hypertension
- 01/22/2020 Eight Steps Toward Health Equity in Diabetes
- 01/17/2020 Updates Made to the Medicare Advantage Section of the Blues Provider Reference Manual
- 01/13/2020 Survey Shows Medicaid Members Give Their Providers High Ratings
- 01/13/2020 Our Medicaid Quality Improvement Program
- 01/06/2020 Reminder: New Online Enrollment Process for 835 EFT and ERA through the Availity® Provider Portal
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