RSVP for 2023 Annual Medicaid Provider Training Sessions

Blue Cross and Blue Shield of New Mexico (BCBSNM) is offering in-person and virtual provider training sessions for Blue Cross Community CentennialSM network behavioral health, long-term care and physical health providers and groups in October and November.

In-Person Training Dates and Times:

Behavioral Health Virtual Training Dates and Times:

Long Term Care Virtual Training Dates and Times:

Physical Health Virtual Training Dates and Times:

Providers do not need to attend more than one session. All sessions offer the same training content, but at different dates and times to better fit your schedule.

RSVP online using the links above. For more information, please contact your Provider Network Representative.

Participating with BCBSNM

  • Registering as a Managed Care Provider
  • Onboarding and Credentialing
  • Disclosure of Ownership and Control Interest Form
  • Verify and Update your Information
  • Obligation to Provide Access to Care
  • Fraud, Waste and Abuse
  • High-Volume Providers
  • Critical Incident Reporting
  • Quality Improvement Program and Initiatives

Covered Services

  • Integrated Care
  • Alternative Benefit Plan (ABP)
  • Pregnancy and Family Planning
  • Value-Added Services
  • Project ECHO
  • Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Benefits
  • Non-Emergency Medical Transportation (NEMT)
  • Supportive Housing
  • Substance Use Disorder and Serious Mental Illness

Member Rights and Responsibilities

  • Member Enrollment
  • Member Services
  • Ombudsmen
  • Primary Care Physician (PCP) Assignment
  • ID Cards

Provider Resources

  • BCBSNM Provider Website
  • Provider Reference Manual (PRM)
  • Specialized Trainings
  • Blue Review Provider Newsletter
  • How to Access Providers

Prior Authorizations

  • Carelon Medical Benefits Management and Carelon Provider Portal
  • Availity® 
  • Referrals

Claims and Billing

  • Timely Filing
  • Best Practices
  • Recoupment Information

Appeals and Grievances

  • Internal Provider Appeal/Grievance Process
  • Provider Responsibilities

Care Coordination

  • Health Risk Assessment (HRA)/Comprehensive Needs Assessment (CNA)
  • Integrated Care Improving the Delivery System

Cultural and Linguistic Competency

  • Annual Cultural Competency Training Requirement
  • Resources