News and Updates
- COVID-19 Preparedness
- Blue Review
- 09/20/2023 Survey Assesses Medicare Advantage Members’ Health Outcomes
- 09/19/2023 New Mailing Addresses for Paper Claims
- 09/14/2023 Behavioral Health Training Series - Comprehensive Community Support Services
- 09/12/2023 Physician Efficiency, Appropriateness, and QualitySM (PEAQSM) - Physician Performance Insight (PPI) Reports are Now Available
- 09/12/2023 BlueApprovRSM Now Accepts Recommended Clinical Reviews — Attend a Training
- 09/06/2023 Reminder for Billing Point-Of-Use Convenience Kits
- 09/01/2023 Inpatient DRG claims for patients transferred early will be paid according to CMS’ transfer policy
- 08/28/2023 Current Procedural Terminology (CPT®) Codes Updated for Prior Authorization for Medicare Oct. 1
- 08/28/2023 ClaimsXten™ Quarterly Update Effective Dec. 4, 2023
- 08/25/2023 Blue Cross and Blue Shield of New Mexico Receives Notification of Intent to Award Turquoise Care Contract
- 08/24/2023 Updates to Clinical Practice and Preventive Care Guidelines
- 08/18/2023 Transition from required Prior Authorization to Recommended Clinical Review Effective Sept. 18, 2023
- 08/18/2023 See New Enhancements for Behavioral Health Pre-service Reviews
- 08/14/2023 New Mexico Medicaid Provider Engagement Forum
- 08/07/2023 Submitting Claims for Infertility Services
- 08/02/2023 Shared Decision-Making Aids Can Help Guide Care Choices
- 08/02/2023 Reporting On-Demand via Availity® Essentials is Now Named Provider Claim Summary
- 08/01/2023 Claim Editing Changes for Emergency Department Services Coming Nov. 1, 2023
- 07/31/2023 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Oct. 1, 2023 – Part 1
- 07/20/2023 Direction from Centers for Medicare & Medicaid Services (CMS) regarding enrollment requirements for prescribing pharmacists or pharmacy providers under Medicaid
- 07/17/2023 Introducing Claim Reconsideration Requests via Availity® Essentials
- 07/12/2023 PEAQ Physician Performance Insight Reports are Now Available
- 07/10/2023 See Our Revised Preventive Services Clinical Payment and Coding Policy Effective July 1, 2023
- 07/10/2023 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2023 – Part 2
- 07/06/2023 Webinar on Coding for Morbid and Severe Obesity
- 07/05/2023 In-Home Test Kits for Colorectal Cancer Screening
- 06/26/2023 Current Procedural Terminology (CPT®) Codes Updated for Prior Authorization for Medicare Oct. 1
- 06/26/2023 Prior Authorization Codes Updated, Effective Oct. 1, 2023
- 06/12/2023 Blue Community HMO Network (CNN) – Individual On and Off Exchange Plans
- 06/09/2023 Medicare Providers May Treat Medicare Advantage Flex and Group Medicare Advantage Open Access PPO Members
- 06/05/2023 Provider Rights and Responsibilities
- 06/05/2023 Member Rights and Responsibilities
- 06/05/2023 New Availity Eligibility & Benefits Experience
- 06/02/2023 Catch Up on Routine Vaccines and Well-Child Visits
- 06/01/2023 Provider Access and Availability Survey
- 05/30/2023 ClaimsXtenTM Announces Software Version Upgrade
- 05/26/2023 Current Procedural Terminology (CPT®) Codes Updated for Prior Authorization for Medicare and Medicaid programs, July 1
- 05/26/2023 Prior Authorization Codes Updated, Effective July 1
- 05/25/2023 Blue Cross Medicare Advantage Dual Care Plus (HMO SNP) 2021 Program Summary
- 05/23/2023 2023 NM Annual NDC Drug Fee Schedule Impact and Timeline
- 05/22/2023 Letter of Direction (LOD) #85 - Community Benefit Provider Audits
- 05/19/2023 Earn Continuing Education Credit at Webinar on Avoiding Inappropriate Antibiotic Use
- 05/16/2023 PEAQ Provider Performance Insights Coming Soon
- 05/16/2023 See our New Clinical Payment and Coding Policy for Outpatient Facility Services that Overlap During an Inpatient Stay
- 05/10/2023 Coverage for Telemedicine Services when the Public Health Emergency Ends May 11
- 05/09/2023 Medical Records Reminder for Out-of-Area Medicare Advantage Members
- 05/05/2023 Medicare Advantage Annual Wellness Visit: Webinar and Resources
- 05/04/2023 ClaimsXten™ Quarterly Update Effective August 21, 2023
- 05/03/2023 BlueApprovRSM Expedites Medical Surgical, Pharmacy and Behavioral Health Prior Authorization — Attend a Training
- 05/02/2023 Helping Our Members Manage Diabetes
- 04/27/2023 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2023 – Part 1
- 04/19/2023 2022 Medical Record Review
- 04/18/2023 Members can now access network of pharmacies at accredited cystic fibrosis treatment centers
- 04/17/2023 Behavioral Health Consultations During Hospitalization Can Improve Outcomes
- 04/13/2023 Webinar on Coding for Chronic Kidney Disease
- 04/11/2023 Annual Regulatory Survey of BCBSNM Provider Directories
- 04/10/2023 See our New Three-day Payment Policy for Outpatient Services Prior to an Inpatient Admission
- 04/04/2023 Track Care Visits During and After Pregnancy
- 03/31/2023 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective April 1, 2023 – Part 2
- 03/28/2023 Current Procedural Terminology (CPT®) Codes Updated for Prior Authorization for Medicare and Medicaid programs, July 1
- 03/28/2023 Prior Authorization Codes Updated, Effective July 1, also watch for Medical Oncology Portal Enhancements
- 03/24/2023 BlueApprovRSM Expedites Medical Surgical, Pharmacy and Behavioral Health Prior Authorization — Attend a Training
- 03/20/2023 BCBSNM Engaged Hospital Service Corporation for Site Visits
- 03/09/2023 Screening and Follow-Up Care for Maternal Mental Health
- 03/08/2023 AIM Specialty Health Changes Its Name to Carelon Medical Benefits Management
- 03/07/2023 Caring for Substance Use Disorders
- 03/07/2023 Monitoring Children Using ADHD Medications
- 03/06/2023 Earn Continuing Education Credit through Webinar on Maternal Mental Health
- 03/03/2023 See Changes to our Existing Inpatient Readmission Policy for Some Commercial Members
- 03/03/2023 Earn Continuing Education Credit through Webinar on Opioids
- 02/22/2023 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective January 1, 2023 – Part 2
- 02/20/2023 New for 2023: Specialty Pharmacies Added In-Network
- 02/15/2023 New BlueApprovRSM Expedites Some Prior Authorizations — Attend a Training to Learn More
- 02/13/2023 Provider Onboarding Form Requirement
- 02/10/2023 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective April 1, 2023 – Part 1
- 02/09/2023 Verify Your Directory Details Every 90 Days
- 02/08/2023 New Mexico Human Services Department Issues Supplement #22-12 “Suspension of Prior Authorization Requirements for Skilled Nursing, Long-Term Care, and Home Health Facilities/Agencies”
- 02/08/2023 COVID-19 Public Health Emergency Ending
- 02/08/2023 Survey to Assess Medicare Advantage Members’ Experiences
- 02/06/2023 Help Close Gaps in Care for Group Medicare Advantage Members
- 02/06/2023 Closing Gaps in Colon Care
- 02/03/2023 Quality Care: Screening for Depression
- 02/03/2023 New Support Program for Members with Kidney Disease
- 02/02/2023 Cultural Awareness Webinars: Earn Continuing Education Credit
- 02/01/2023 Earn Continuing Education Credit through Webinar on Bipolar Disorder
- 02/01/2023 Supporting Heart Health Equity
- 01/13/2023 Blue Cross Medicare Advantage Dual Care Plus (HMO SNP) 2020 Program Summary
- 01/10/2023 FEP Annual Medical Record Data Collection for Quality Reporting – HEDIS
- 01/05/2023 Prior Authorization Codes Updated, Effective April 1
- 01/03/2023 Current Procedural Terminology (CPT®) Codes Updated for Prior Authorization for Medicare and Medicaid programs, April 1
- 01/03/2023 ClaimsXten™ Quarterly Update Effective April 17, 2023
- 12/29/2022 Updates Made to the Blue Cross Community CentennialSM Provider Reference Manual
- 12/29/2022 Updates Made to the Blue Cross Medicare Advantage Provider Reference Manual
- 12/28/2022 Predetermination is now Recommended Clinical Review
- 12/22/2022 Inflation Reduction Act to Impact Insulin and Vaccine Costs for Medicare Members
- 12/15/2022 Our Blue Cross Community CentennialSM Quality Improvement Program
- 12/15/2022 Blue Cross Community CentennialSM Members Rate Their Experience
- 12/06/2022 Cervical and Breast Cancer Screenings
- 12/05/2022 Hospitals Must Provide Medicare Outpatient Observation Notice
- 12/05/2022 Patients in the Qualified Medicare Beneficiary Program Should Not Be Billed
- 12/02/2022 Centennial Care Behavioral Health Screening Incentive Program
- 11/28/2022 Current Procedural Terminology (CPT®) Codes Updated for Prior Authorization for Medicare programs, Jan. 1
- 11/28/2022 Prior Authorization Codes Updated, Effective January 1
- 11/22/2022 MAPD Risk Adjustment Medical Records Request
- 11/16/2022 Downcoding Explanations for NSA Claims by Nonparticipating Providers
- 11/16/2022 2022 Annual HEDIS® Medical Record Review Begins February 2023
- 11/15/2022 RSVP for 2022 Annual Medicaid Provider Training Sessions
- 11/11/2022 Keeping an Eye on Improved Provider Collaboration
- 11/10/2022 New Laboratory Management Program Training Sessions
- 11/09/2022 Continuity of Care is Driven by Prompt Communication Upon Hospital Discharge
- 11/07/2022 Importance of Early and Timely Intervention for Pre- and Post-Partum Care to Help Improve Health Outcomes
- 11/03/2022 Statin Therapy for Patients with Cardiovascular Disease and Diabetes
- 11/01/2022 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Jan. 1, 2023 – Part 1
- 11/01/2022 Help Close Gaps in Care for Group Medicare Advantage Members
- 10/31/2022 New Tool Improves Behavioral Health Prior Authorization — Attend a Training
- 10/25/2022 Prior Authorization Codes Updated, Effective January 1
- 10/10/2022 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Oct. 1, 2022 – Part 2
- 10/04/2022 Diabetes Screening for People Using Antipsychotic Medications
- 10/04/2022 Current Procedural Terminology (CPT®) Codes Updated for Prior Authorization for Medicare programs
- 10/04/2022 Prior Authorization Codes Updated, Effective January 1
- 09/28/2022 Postponed: Use Our Automated Phone System to Request Prior Authorization for FEP® Members
- 09/28/2022 Earn Continuing Education Credit at Webinar on Low Back Pain
- 09/27/2022 New Laboratory Management Program to Begin Jan. 1, 2023
- 09/27/2022 Confirm Medical Record Receipt Status Online for Prior Authorization Requests
- 09/26/2022 What You Need to Know About the Flu Season
- 09/26/2022 Addressing Disparities in Breast Cancer for Black Women
- 09/14/2022 Earn Continuing Education Credit through Webinar on Suicide Prevention
- 09/13/2022 Coronavirus Public Health Emergency Ending
- 09/12/2022 Submitting Unlisted or Miscellaneous Codes: Billing Guidelines and Reminders
- 09/09/2022 We’re Reducing Prior Authorization Requirements for Certain Applied Behavioral Analysis (ABA) Codes for Some Commercial Members, in some instances
- 09/07/2022 New Mexico Medicaid Benefit Preauthorization Procedure Code List Update, Effective Oct. 1
- 09/07/2022 Short Term Complications of Diabetes Admission Questionnaire
- 09/01/2022 Health Equity and Social Determinants of Health: New Resources for Providers
- 09/01/2022 ClaimsXten™ Quarterly Update Effective Dec. 5, 2022
- 08/22/2022 Coverage Information for Monkeypox
- 08/16/2022 Use Our New Prior Authorization Digital Lookup Tool for Medicaid Member Information
- 08/15/2022 Rehoboth McKinley Christian Suspending Labor & Delivery Services
- 08/09/2022 Reminders When Using the Claims Inquiry Resolution (CIR) Tool
- 08/08/2022 Videos to Share on Behavioral Health Care
- 08/03/2022 New Tool to Verify Credentialing Information
- 08/02/2022 Coming Soon: IVR System to Offer Prior Authorization Requests for FEP Members
- 08/02/2022 Verify Your Directory Details Every 90 Days
- 08/02/2022 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Oct. 1, 2022 – Part 1
- 08/02/2022 Help Close Diabetes Disparity Gaps
- 08/01/2022 Reviews on Inpatient DRG Claims for BlueCard® (Out of Area) Medicare AdvantageSM Members
- 08/01/2022 Are You Using These Shared Decision-Making Aids?
- 08/01/2022 Help Close Gaps in Care for Group Medicare Advantage Members
- 08/01/2022 Avoiding Antibiotics for Acute Bronchitis and Other Viruses
- 07/29/2022 Webinars on Cross-Cultural Care Offer Continuing Education Credit
- 07/27/2022 Reminder: It’s Time - Verify Your Directory Details
- 07/19/2022 Reminder: Provider Access and Availability Survey
- 07/18/2022 New Online Option to Confirm Medical Record Receipt Status
- 07/12/2022 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2022 – Part 2
- 07/11/2022 Provider Directory Locations - CMS Guidance
- 07/05/2022 Current Procedural Terminology® (CPT) Codes Updated for Prior Authorization, Effective Oct. 1
- 07/05/2022 Current Procedural Terminology® (CPT) Codes Updated for Prior Authorization for Medicare programs, Effective Oct. 1
- 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 Machine-Readable Files
- 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 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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