RSVP for 2022 Annual Medicaid Provider Training Sessions

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

Training dates and times:

Behavioral Health

  • Behavioral Health Session 1: Tuesday Dec. 6, 10 a.m. to 12 pm.
  • Behavioral Health Session 2: Thursday Dec. 8, 1 to 3 p.m.

Long Term Care

  • Long Term Care Session 1: Tuesday Dec. 6, 10 a.m. to 12 pm.
  • Long Term Care Session 2: Thursday Dec. 8, 1 to 3 p.m.

Physical Health

  • Physical Health Session 1: Tuesday Dec. 6, 10 a.m. to 12 pm.
  • Physical Health Session 2: Thursday Dec. 8, 1 to 3 p.m.

Providers do not need to attend both sessions. Session 1 and Session 2 offer the same training content, but at different dates and times to better fit your schedule.

RSVP online for behavioral health, long term care or physical health. 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

  • AIM Specialty Health® (AIM) and AIM 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