Tips for Providing Reimbursable Telemedicine Services to Blue Cross Community CentennialSM Members

Blue Cross and Blue Shield of New Mexico (BCBSNM) encourages its contracted providers to furnish covered services to Blue Cross Community Centennial members via qualifying and compliant interactive telecommunications systems and/or asynchronous store-and-forward technology, where clinically appropriate, especially to those members living in rural or frontier areas of the state (Telemedicine). The State of New Mexico Human Services Department (HSD) allows reimbursement for Telemedicine where program requirements are met.

BCBSNM has a Telemedicine - Telehealth Quick Reference Guide PDF Document available for providers at the Blue Cross and Blue Shield of New Mexico website under the Providers tab in the Standards & Requirements section. The guide includes information about reimbursable Telemedicine including software/hardware requirements, Medicaid requirements compared to Medicare requirements, as well as other resources to assist providers in developing Telemedicine services (“Telehealth,” in Medicare parlance).

Examples of Telemedicine services furnished to Blue Cross Community Centennial members:

  • Dermatology
  • Retinal eye scans
  • Sleep medicine
  • Psychotherapy, individual and family
  • Pharmacologic management
  • Psychiatric diagnostic evaluation
  • E-visits furnished by MDLive

If you are a participating provider who would like to be an originating site for behavioral health Telemedicine services, (e.g., where the member would go to receive behavioral health services from a remotely located behavioral health provider), please send an email with a brief description of your interest to Steve DeSaulniers, BCBSNM Behavioral Health Program Manager at stephen_c_desaulniers@bcbsnm.com. BCBSNM may be able to help connect you with behavioral health providers who furnish Telemedicine.

BCBSNM reimburses the code Q3014 for originating sites the lesser of billed charges or $79.45 if all program requirements are met. Please see the Quick Reference Guide identified above for additional information.

If you are a Telemedicine provider who participates with BCBSNM and would like to work with other participating providers who are interested in furnishing an originating site for your Telemedicine services, please email Steve DeSaulniers at stephen_c_desaulniers@bcbsnm.com with a brief description of your interest. BCBSNM may be able to help connect you with such originating site providers.