All PlansAdministrativeMedium impact
Claims Reminders for Behavioral Health Services
BCBS New Mexico·NM · Psychiatry·Reimbursement
Effective date
May 12, 2026
We identified it
Jun 18, 2026
Summary
BCBS New Mexico issued reminders clarifying that behavioral health providers cannot bill under another provider's NPI unless there's a formal supervisor-trainee relationship, and that trainees must be under direct personal supervision 100% of the time. A new modifier (HL) will be required for trainee services in the future.
Action Required
Immediately: Behavioral health providers must ensure all claims are billed under the correct rendering provider's NPI - no pass-through billing allowed. Verify that any trainee services have proper supervisor-trainee relationships documented and that supervision is direct and personal (supervisor in immediate vicinity 100% of time). Do NOT use the HL modifier yet - wait for future notification from BCBSNM before implementing.