Discuss Colon Health and Preventive Screening with Members

Preventive screening for colorectal cancer is recommended for adults ages 45 to 75. Review screening tests and tips to close care gaps.

Take Note of Changes to Ground and Air Medical Transportation

Effective April 1, 2026, Alacura Medical Transportation Management will manage prior authorization, recommended clinical review and retrospective claim review for commercial ground and air medical transportation claims. See how to contact Alacura when transport is needed.

Review Prior Authorization Changes for Some Commercial and Government Program Members

We’ve updated prior authorization requirements for certain commercial and government plans to reflect new, replaced or removed codes.

Encourage Follow‑up Care After Hospital Visits for Mental Health

Among Americans ages 18 to 44, nearly 600,000 are hospitalized yearly for mental health‑related conditions, according to the National Alliance on Mental Illness. You can help our members by encouraging timely follow‑up care with behavioral health care providers when appropriate.

Remind Members About Early Intervention Services Available at No Cost

The New Mexico Early Childhood Education & Care Department provides early intervention services for children from birth to age 3 years. Learn about criteria for the program and the services offered.

Explore Learning Opportunities

We offer free training for providers who participate in our networks. View and sign up for training sessions.

Provide Records To Support Quality Care for Commercial Members

You may receive requests for our members’ medical records from February through April 2026. Learn how you can help by promptly providing complete records for our commercial members.

GeoBlue^® Is Now Blue Cross Blue Shield Global Solutions^SM

Members will receive BCBS Global Solutions ID cards during this transition. Member coverage, benefits and access to care don’t change.

Required: Verify Your Directory Information Every 90 Days

Our members and other providers rely on our provider directory for accurate information about your practice. As a contracted provider, your directory data must be verified at least every 90 days, even if it hasn’t changed.

Review Pharmacy Program Quarterly Update – Part 1

Changes were made to our drug lists and utilization management program. Learn about these and other pharmacy program updates.

Learn About Updates to Reimbursement Policies

We regularly add and modify reimbursement policies, formerly known as clinical payment and coding policies, as part of our ongoing policy review. See which policies were updated.

Review Active and Pending Medical Policies

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.

Take Note of Credentialing Verification Changes for Turquoise Care Providers

Effective March 1, 2026, providers seeking initial credentialing with any Medicaid Managed Care Organization will use a new centralized credentialing verification process.

Review Frequently Asked Questions About Turquoise Claims

The New Mexico Health Care Authority will transition this spring to a new Medicaid claims management system, Turquoise Claims, on March 23, 2026. This system will replace Omnicaid and the New Mexico Medicaid Portal.

Primary Care Providers Can Access Monthly Membership Files Through Lightbeam

Primary care providers with Turquoise Care now have access to monthly membership files through the Lightbeam module in Availity^® Essentials Payer Spaces.