To ensure that BCCHP and MMAI members have timely access to care, the following appointment standards are specified in your provider agreements: In addition to the above appointment timeframes, providers are contractually required to ensure that
provider coverage is available for members 24 hours a day, seven days a week. In addition, providers must maintain a 24-hour answering service and ensure that each primary care physician (PCP) provides a 24-hour answering arrangement, including a 24-hour on-call PCP arrangement for all members. An answering machine doesn’t meet the requirements for a 24-hour answering service arrangement. Hospital emergency rooms or urgent care centers aren’t substitutes for covering providers. We
routinely monitor for compliance with the above standards. Compliance monitoring includes, but is not limited to, conversations with your Provider Network Consultant (PNC), site visits and “Secret Shop” calls. Lack of compliance may lead to corrective actions, which may include corrective action plans or termination. July 2020
Blue Cross Community Centennial has a network of doctors, specialists and hospitals. These providers are contracted with BCBSNM to provide medical services to members.
You must use in-network providers. If you choose to see a doctor who is not part of our network, you will have to pay for the services. Except in an emergency, this plan does not cover care received from out-of-network providers. Check with the provider to make sure that he or she is in the network before you get care.
You must choose a PCP when you join the plan. Our network has PCPs in almost every county in the state. There's also a wide selection of specialists.
The Provider Finder® makes it easy to find a doctor or hospital in your area. Select the link below to open a new browser window. Search for providers. When you're done, close that window and keep viewing this site.
| Provider Network Directory* *The printable Provider Network Directory shows the most current information available at the time it was published. The most current listings are in our online Provider Finder – it is updated daily. |
If you need help finding Medicaid providers, call 1-866-689-1523.
If your Blue Cross and Blue Shield of New Mexico (BCBSNM) plan includes vision coverage, select from the links below to search for a vision provider.
- BCBSNM Vision Plans *
- Medicaid Plan (Blue Cross Community CentennialSM) **
- Medicare Advantage Plans *
Provider Finder® Disclaimer
You are about to leave the BCBSNM website. You are going to a different website. This other site may have information about:
- Medical conditions
- Providers (doctors, dentists, hospitals or other health care professionals)
- Prescription drugs
- Treatments
- Products or services
Please note that your health plan may not cover the items found on this other site.
The information on this other site may not always state the views of BCBSNM. You should not think BCBSNM endorses all views you find on this other site.
BCBSNM is not liable or responsible for damage or injury to persons or property that result from the use of anything found on this other site such as:
- Products or services
- Information or ideas
- Instructions, especially for health care
BCBSNM cannot guarantee the accuracy of any statements made on other websites.
The information on this other site does not replace professional health care. For example, if you have questions about vision care, talk with your doctor. For questions about your BCBSNM health plan, call Customer Service at the number listed on your BCBSNM member ID card.
* EyeMed Vision Care is an independent company that administers the vision benefits
for Blue Cross and Blue Shield of New Mexico.
** Davis Vision is an independent company that provides vision care benefits for the BCBSNM Medicaid plan (Blue Cross Community Centennial). Such services are funded in part with the State of New Mexico.
Blue Cross®, Blue Shield® and the Cross and Shield symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield
Plans.