Behavioral Health Services

Behavioral health can affect overall health. Sometimes you may need help dealing with stress, grief, or depression. Help is also available for those facing:

  • Emotional needs or concerns
  • Mental health diagnosis
  • Substance abuse concerns

Sometimes, one or more of these conditions may exist at the same time. Or they may exist in addition to a physical condition. The type of help you might need depends on your situation. It could be counseling, treatment, in-patient or out-patient care.

Your plan offers health care for your body and mind. We also provide Care Coordination to help you get the care you need. A Care Coordinator can help members find out what services are covered. They can also let you know if the service will need prior authorization (to be approved before you go for the service). If you need a Care Coordinator, call 1-877-232-5518.

Check the current Behavioral Health Level of Care Guidelines. If you have questions about these guidelines, ask your doctor or Care Coordinator.

What is covered?

Here are just some of the services covered by this plan:
 

Behavioral Health Services – List of services covered by this plan.
Covered Service Applies to: Does service need prior authorization?
Inpatient Psychiatric and Substance Abuse Services All ages Yes
Accredited Residential Treatment Services for Adults with Substance Abuse Disorders 18 years and older Yes
Accredited Residential Treatment Center Services for Youth Under age 21 Yes
Applied Behavioral Analysis
12 months and older
Yes, for some services
Certified Community Behavioral Health Clinics (CCBHC) Services
All ages
No
Crisis Intervention All ages No
Day Treatment Under age 21 No
Electroconvulsive Therapy All ages
No
Intensive Outpatient Programs for Mental Health and Substance Use Disorders 11 years and older
No
Medication Assisted Treatment All ages
No
Partial Hospitalization
5 years and older Yes, beyond 45 days
Peer Support Services
All ages No
Psychological Testing All ages No
Therapy All Ages No, but services beyond core coverage may need prior authorization

You do not need a referral from your PCP to get these services. 

Check the Member Handbook for a complete list of covered services.

What is not covered?

Examples of services this plan does not cover include:

  • Hypnotherapy
  • Biofeedback
  • Experimental procedures or non-drug therapies
  • Services from non-licensed providers

Learn to Live1: Digital Mental Health Platform

Learn to Live is a no cost online health program. It is offered to members 13 and older and caregivers. Learn to Live gives self-paced mental health solutions. Plus, you can access coaches 24/7. It can help with common challenges like stress, anxiety, depression, insomnia and substance abuse. To start, register at the Learn to Live website (Access Code: NMMED).

New Mexico Crisis and Access Line (NMCAL)

NMCAL is available to New Mexicans during a mental health crisis. Use this state-wide toll-free phone line to access local help and resources. There are mental health professionals ready to help 24 hours a day, 7 days a week.

Call NMCAL at 1-855-NMCRISIS (1-855-662-7474).

If you have a life-threatening emergency, please call 911.

Mental Health Hotlines

If you are having a mental health crisis, there is help. Call one of the below lines. They are 24/7. Calls are private and at no cost to you.

  • 988 Suicide & Crisis Lifeline  – Call this hotline for support if you are in distress and need help during a crisis. You can speak with a trained crisis worker to get one-on-one support. You can call or text: 988
  • National Maternal Mental Health Hotline  – Get support before, during and after pregnancy. This hotline is for those who feel overwhelmed or depressed. A trained counselor will listen and help. You can call or text: 1-833-TLC-MAMA (1-833-852-6262)

Call Member Services at 1-866-689-1523 (TTY: 711) if you have questions about behavioral health plan benefits.

 

1 Learn to Live provides educational behavioral health programs. Members considering further medical treatment should consult with a physician. Learn to Live, Inc. is an independent company that provides online behavioral health programs and tools for members with coverage through Blue Cross and Blue Shield of New Mexico. BCBSNM makes no endorsement, representations or warranties regarding third-party vendors and the products and services offered by them.

Learn How Your Plan Works

Review the Member Handbook for details about plan benefits.

FAQs

Find answers to Frequently Asked Questions about this health plan.