MedicaidDocumentationMedium impact
Talk with Members About Access to Contraceptive Care
BCBS New Mexico·NM · OB-GYN, Family Medicine, Pediatrics +2 more·General
Effective date
Jul 17, 2026
We identified it
Jul 18, 2026
Summary
BlueCross BlueShield New Mexico issued guidance for providers serving Turquoise Care (Medicaid) members on contraceptive care access and quality measure tracking. The policy emphasizes HHS-recommended preventive care measures for contraception and postpartum depression screening, with specific requirements for documentation, counseling, and same-day access to contraceptive methods. Providers must implement workflows to close care gaps and track two key HEDIS measures related to contraceptive provision and maternal depression screening.
Action Required
By August 17, 2026: Providers serving Turquoise Care (New Mexico Medicaid) members must implement the following: (1) Billing and clinical teams should update EMR templates and encounter forms to include prompts for contraceptive counseling, screening, and provision documentation for women ages 15-44 at risk of unintended pregnancy; (2) Establish protocols for tracking and documenting the HHS 'Contraceptive Care for All Women' measure and the 'Postpartum Women – Most or Moderately Effective Contraceptive Methods' measure; (3) Implement same-day access workflows for long-acting reversible contraceptive methods (IUDs, implants) when clinically appropriate; (4) For infant providers: Add maternal depression screening documentation to well-child visit templates (1-, 2-, 4-, and 6-month visits) as required by EPSDT; (5) All primary care providers treating Turquoise Care members under age 21 must ensure comprehensive reproductive health education is documented and emergency contraception options are offered. Clinical staff should establish referral protocols with family planning services per New Mexico Department of Health guidelines. Billing teams should verify proper CPT codes are used for contraceptive provision, education, and removal services. Failure to document and track these measures may impact quality performance metrics and reimbursement incentives.