Welcome to Cigna Healthcare^® Medicare Advantage‑Contracted Providers

Our acquisition of Cigna Healthcare’s Medicare Advantage business is finalized. We are pleased to partner with providers to support members’ care and are committed to a smooth transition. No changes to member benefits will happen in 2025. Learn more about the acquisition and what it means for you.

Quality Measures Track Treatment and Follow‑Up Visits for Substance Use Disorders

You can play an important role in members’ care by discussing the signs of substance use disorders and encouraging getting help, if appropriate. Review tips to close care gaps.

Update Your Records with New Member ID Numbers

Newly enrolled members or members who have new benefit plans may have new ID numbers. Learn why it’s important to use the entire ID number, including the three‑character prefix, when checking eligibility and benefits and submitting claims.

Explore Learning Opportunities

We offer free training for providers who participate in our networks. Sign up for sessions, including:

• Behavioral health in older adults, offering continuing education credit

• Culture of caring, offering continuing education credit

• Pediatric care: Postpartum depression, youth obesity management and NICU pediatrics

Watch for Our Annual Satisfaction Survey

The survey measures your satisfaction with Blue Cross and Blue Shield of New Mexico and identifies areas where we can refine. Learn how to participate.

Review Updates to Clinical Payment and Coding Policies

We regularly add and modify our CPCPs as part of our ongoing policy review. See which policies were updated and when.

See Updated Policy for Billing Telemedicine and Telehealth Services

Our revised CPCP for telemedicine and telehealth services includes new coding guidance from the American Medical Association.

Review New Policy for Billing Lactation Support Services

Effective June 26, 2025, we have a new CPCP with billing and coding guidance for lactation support services provided during the antenatal, perinatal and postpartum periods.

Take Note of Provider Reference Manual Updates

Our Provider Reference Manual is updated, effective Feb. 28, 2025. Changes to the manual include, but aren’t limited to, the following section: 10 – Prior Authorization and Recommended Clinical Review. Please review it for all changes.

Review Medical Policy Updates

Approved new or revised medical policies and their effective dates are usually posted on our website the first and 15th of each month. You can view all active and pending policies, as well as draft medical policies, and provide comments on draft policies. These policies may impact your reimbursement and your patients’ benefits.

Watch for Updates to Claims Review for Diagnosis Codes

Effective June 1, 2025, we’ll enhance our claims editing and review process for diagnosis codes for Turquoise Care members. This will help ensure accurate coding of services and proper reimbursement.

Learn About Contracting with Turquoise Care

If you’re interested in becoming a provider of Turquoise Care, call 505‑837‑8800 or 800‑567‑8540. Providers participating in our commercial products are not automatically participating providers in Turquoise Care.