All PlansCoverageMedium impact
Discuss Colon Health and Preventive Screening with Our Members
BCBS New Mexico·NM · Family Medicine, Internal Medicine, Gastroenterology +1 more·General
Effective date
Feb 5, 2026
We identified it
Jun 18, 2026
Summary
Blue Cross Blue Shield of New Mexico is encouraging providers to discuss colorectal cancer screening with members ages 45-75 and emphasizes proper documentation of screening tests to close HEDIS care gaps. The policy clarifies that preventive screenings are covered at no cost share for most members, while diagnostic tests may have out-of-pocket costs.
Action Required
Immediately: Providers should discuss colorectal cancer screening options with members ages 45-75. Billing team must ensure proper documentation in medical records includes date and type of colorectal cancer screening performed or pathology reports. Verify eligibility and benefits using Availity Essentials before appointments to confirm coverage details, as preventive screenings are typically covered at no cost share while diagnostic tests may have member cost-sharing.