In this month’s Blue Review: Holiday schedules, benefits and pharmacy updates, and more...

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Notice of Annual Benefit Updates
The final article in a 4-part series regarding colorectal cancer screenings
BCBSNM will be updating member files with annual benefit changes over the next several weeks. In addition, updates are in progress due to open enrollment. Read more

Pharmacy Benefit Tips
BCBSNM employs a number of industry-standard management strategies to ensure appropriate utilization of prescription drugs. These strategies can include drug list management, benefit design modeling, specialty pharmacy benefits and clinical programs, among others. Read more

Online Magazine Spotlight: How Health Care Veterans Foster (and Learn from) Startups
At BCBSNM, we believe that having access to affordable, quality coverage can make a positive, and often profound, difference in our members’ lives. We want to be part of the solution by exploring ways we can all work together to make the health care system work better for everyone. Read more

Blue Cross Community Centennial^SM (Medicaid)

Not yet contracted?
Providers who are participating in commercial BCBSNM products are not automatically participating providers in Blue Cross Community Centennial. If you are interested in becoming a Blue Cross Community Centennial provider, please call 505-837-8800 or 1-800-567-8540.

Reminder: Update your Enrollment Information
Due to Centennial Care requirements, all enrollment information (changes to demographics, licensure or certification, provider status, etc.) must be updated on the NM Medicaid Provider Web Portal.

Such services are funded in part with the State of New Mexico.

Federal Employee Program (FEP)

Skilled Nursing Facility (SNF) Benefit Change for FEP Members
How do you treat a senior patient with an FEP Standard Option health plan who is not enrolled in Medicare Part A and needs rehabilitation that a nursing home does not offer? Starting Jan. 1, 2018, these patients will be covered for up to 30 days per benefit year of inpatient SNF care. Read more

Provider Resources

BCBSNM Website
It’s important for you to stay informed about news that could affect your practice. Blue Cross and Blue Shield of New Mexico (BCBSNM) offers many ways to stay informed via our website, bcbsnm.com/provider, and our provider newsletter, Blue Review. Read more

Medical Policy Updates
Approved new or revised Medical Policies and their effective dates are usually posted on our website the first and fifteenth of each month. These policies may impact your reimbursement and your patients’ benefits. These policies are located under the Standards & Requirements tab at bcbsnm.com/provider.

Claims inquiries?
Our Provider Service Unit (PSU) handles all provider inquiries about claims status, eligibility, benefits, and claims processing for BCBSNM members. Call 888-349-3706 For out-of-area claims inquiries, please call the BCBSNM BlueCard PSU at 800-222-7992.

Network Services Contacts and Related Service Areas
Network Services Regional Map

Do we have your correct information?
Maintaining up-to-date contact and practice information helps to ensure that you are receiving critical communications and efficient reimbursement processes. Please complete our quick and easy online form for any changes to contact or practice information.

Member Rights and Responsibilities
BCBSNM policies help address the issues of members participating in decision making regarding their treatment; confidentiality of information; treatment of members with dignity, courtesy and a respect for privacy; and members’ responsibilities in the practitioner-patient relationship and the health care delivery process. Read more

You can find Blue Review online!
We want your feedback on Blue Review! Have suggestions for future articles? Drop us a line anytime: NM_Blue_Review_Editor@bcbsnm.com.