Provider Training and Continuing Education

Join us for an orientation on Availity Essentials resources, and attend webinars about prior authorization, BlueApprovR, claim status and other tools. Learn more about Availity Essentials orientation and training.

We offer the following free behavioral health webinars. Doctors (MDs and DOs), nurses, physician assistants and psychologists earn one continuing medical education credit for each course attended, unless otherwise noted. Social workers and mental health counselors (LPC, LCPC, LPCC, LMFT) earn one continuing education unit per course.

Social Determinants of Mental Health Care: March 4 and March 6, 2024

This introductory webinar offers a high-level, introductory overview of the social determinants of mental health care. It offers one CME or CEU.

To attend: Visit this website to register and choose your event:

• Monday, March 4, 2024, from 8 to 9 a.m. MT.
• Wednesday, March 6, 2024, from 7 to 8 a.m. MT.

Tom Allen, M.D., and Kendell LeBray, M.P.H., will discuss social determinants of mental health care in the primary care setting, with treatment options across various care settings. Webinar topics include:

• Behavioral health screenings
• Follow-up care
• Related quality measures

Continuing Education Credits: Recorded Webinars

Iniciar sesión (registration required) to view recordings of our previous webinars and earn CME/CEU credit: 

These courses are available:

• Bipolar Disorder: Diagnosis and Treatment, recorded February 2023 (1.5 CME/CEU)
• Comorbid Behavioral Health and Physical Health Conditions, recorded October 2021
• Depression in a Primary Care Setting, recorded June 2021
• Diabetes and Behavioral Health, recorded April 2022
• Differential Diagnoses of Depression: Assessment and Treatment, recorded March 2022
• Maternal Mental Health: Pregnancy and Postpartum, recorded April 2023 
• Opioid Use Disorder, recorded August 2021
• Pediatric Behavioral Health, recorded February 2024
• Substance Abuse: Coordinating Care and Improving Follow-Up, recorded May 2022
• Suicide Prevention with the Military Community, recorded November 2022 (1.5 CME/CEU)
• Synthetic Opioids and the Opioid Crisis, recorded April 2023

The webinars offer introductory training and a high-level overview.

_{The American Osteopathic Colleges of Ophthalmology and Otolaryngology-Head and Neck Surgery is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians. AOCOO-HNS designates this[SH1] program for a maximum of 1.0 AOA Category 1-A credits (or 1.5 where noted) and will report CME and specialty credits commensurate with the extent of the physician's participation.}

_{Social Work CEUs Approved by NASW-NM. The Licensee must maintain proof of continuing education courses taken for the past four (4) years. The New Mexico Regulations and Licensing Department, Boards and Commissions, Social Work Licensing Board reserves the right to audit a licensee's continuing education records as it deems necessary. This event has been approved for a total of 1 CEU (or 1.5 if noted).}

_{Physicians, nurses, physician assistants and psychologists can use AOA Cat 1-4 credit toward licensure. Social workers and mental health counselors (LPC, LCPC, LPCC, LMFT) can use the Social Work CEU credit toward licensure.}

_{The webinar material is for informational purposes only and is not intended to be a substitute for the independent medical judgment of a physician. Se recomienda a los médicos y otros profesionales de la salud que apliquen su mejor criterio médico basándose en toda la información disponible y en el estado del paciente para determinar el mejor tratamiento. References to other third-party sources or organizations are not a representation, warranty or endorsement of such organization.}

Attend free training sessions on how to submit requests for Carelon Prior Authorizations. Refer to the Carelon On-demand training page  for available sessions.

Join members of our Coding Compliance team for free webinars. They will present information from official coding resources to improve specificity and accuracy in coding, and help close gaps in patients’ care. Más información sobre nuestra iniciativa coding webinars. 

BCBSNM is offering the courses listed below to earn continuing education credit. These webinars are offered at no cost through Quality Interactions, a separate company that provides cultural awareness training to health care professionals.  

Course Offerings

Select the link for accreditation information and course overviews:

• Recognizing and Responding to Implicit Bias (CME/CEU/CCM/CDE)
• Cross-Cultural Care in Mental Health and Depression (CME/CEU/CCM/LSW)
• Culturally Competent Care for the Medicare Population (CME/CEU/CCM)
• Improving Adherence in Diverse Populations (CME/CEU/CCM/LSW/ACPE)
• Test Your Skills for Clinicians (option A) (CME/CEU/CCM)
• Test Your Skills for Clinicians (option B) (CME/CEU)

How to Attend

• Enter your email address and create a password on the Quality Interactions website.
• Watch your email for a link to your new account profile. Complete your profile and enter Learn2022 as your Org ID.

The courses are self-paced. Find instructions y obtenga ayuda en línea.

_{Quality Interactions is a separate company that provides cultural competency training to health care professionals. BCBSNM makes no endorsement, representations or warranties regarding third party vendors and the products and services they offer.}

In 2010, The Patient Protection and Affordable Care Act  reinforced the importance of the Model of Care (MOC) as a fundamental component of the Special Needs Plans quality improvement by requiring the National Committee of Quality Assurance to review and ensure the MOC meets requirements set by the Centers for Medicare & Medicaid Services.

The standards set by CMS requires all contracted and out-of-network providers seen by Dual-Special Needs Plan (D-SNP) members to receive an annual training on the D-SNP MOC. With the link provided, you will be able to view the attached course about the New D-SNP MOC and provide certification that you read the information upon completion. This is an annual requirement and a CMS reporting compliance requirement for Blue Cross and Blue Shield of New Mexico.

We are able to provide this course to you via a Cloud-based application called Brainshark. Upon clicking the BrainShark course link, you will see a pop-up with several fields to fill in. This is the BrainShark Guestbook, which is used to track and capture your basic user data for our proprietary use. We use this data to identify providers that have, and have not, completed this course.

The training should take approximately 20 minutes to complete. Please follow the listed steps to complete the D-SNP Brainshark course.

1. Visite BrainShark.
2. Completely fill out all fields in the BrainShark Guestbook and submit.
   Note: Please be sure to fill out the company name with the provider group name. Otherwise it makes reporting difficult without knowing who you are affiliated with. 
3. Instructions are included at the end of the course on how to close out of the course so that you receive credit. We are asking all providers to please be diligent in completing the course on or before the deadline for CMS reporting compliance.

If you are not able to access the Brainshark link, use the link below to download the BrainShark DSNP MOC PowerPoint Training, and review in its entirety. Once complete, you can fill out the D-SNP MOC Attestation form and send to your assigned Provider Representative.

Related Resources:

• BrainShark DSNP MOC PowerPoint Training page
• D-SNP MOC Attestation form
• Provider Representative Contact List
• Preguntas frecuentes

The primary mission of BCBSNM Special Investigations Department (SID) is to identify, prevent, investigate, and stop potential fraudulent activities. The SID is committed to fighting fraud, reducing health care costs, and protecting the integrity of the BCBSNM provider network.

Each year billions of dollars are inappropriately spent due to health care fraud, waste, and abuse which contributes to the rising cost of health care for all Americans. In response to this problem, BCBSNM has an established SID - one of the most aggressive and effective health care fraud investigation programs in the industry.

To help you understand what health care fraud is, how it affects your practice, and how you can report health care fraud to the SID, BCBSNM offers a free online Fraud Awareness Training Tutorial .

BCBSNM considers fraudulent billing to include, but not be limited to:

• Deliberate misrepresentation of the services provided to receive payment for a non-covered service.
• Deliberately billing in a manner which results in a reimbursement greater than what would have been received if the claim was properly filed.
• Billing for services that were not rendered.

Additionally, the SID maintains a 24-hour fraud hotline, through which you can report any suspicions of fraud. All calls are confidential, and you may report your information anonymously. To file a report, call the hotline at 1-800-543-0867 (24/7) or go to bcbsnm.com/sid/reporting.

Related Resources:

• Prevención e informe de fraudes en cuidados de salud

The primary mission of BCBSNM Special Investigations Department (SID) is to identify, prevent, investigate, and stop potential fraudulent activities. The SID is committed to fighting fraud, reducing health care costs, and protecting the integrity of the BCBSNM provider network.

Each year billions of dollars are inappropriately spent due to health care fraud, waste, and abuse which contributes to the rising cost of health care for all Americans. In response to this problem, BCBSNM has an established SID - one of the most aggressive and effective health care fraud investigation programs in the industry.

To help you understand what health care fraud is, how it affects your practice, and how you can report health care fraud to the SID, BCBSNM offers a free online Fraud Awareness Training Tutorial .

BCBSNM considers fraudulent billing to include, but not be limited to:

• Deliberate misrepresentation of the services provided to receive payment for a non-covered service.
• Deliberately billing in a manner which results in a reimbursement greater than what would have been received if the claim was properly filed.
• Billing for services that were not rendered.

Additionally, the SID maintains a 24-hour fraud hotline, through which you can report any suspicions of fraud. All calls are confidential, and you may report your information anonymously. To file a report, call the hotline at 1-800-543-0867 (24/7) or go to bcbsnm.com/sid/reporting.

Attend our free webinars on measures to track and improve our members’ care. Learn more about our quality improvement webinars and continuing education credits. 

BCBSNM is offering training on the Treatment and Supervision Documentation Guidelines for New Mexico Behavioral Health Medicaid providers.

• MCO Treatment and Supervision Documentation Training
• MCO Treatment and Supervision Documentation Checklist

Training Dates and Times

• March 8, 2024 – 11 a.m. to 12 p.m.
• March 27, 2024 – 2 to 3 p.m.
• June 7, 2024 – 11 a.m. to 12 p.m.
• June 26, 2024 – 2 to 3 p.m.