PROVIDERS
The Health Care Authority’s mission is: We ensure that New Mexicans attain their highest level of health by providing whole-person, cost-effective, accessible, and high-quality health care and safety-net services.
- Providers Overview
- Abbreviations / Acronyms / Glossary of Terms
- Communications to Providers
- New Provider & PED Enrollment System
- Critical Incident Reporting
- Fee for Service
- Manuals and Guides
- New Mexico Administrative Code Program Rules and Billing
- Native Americans
- PE/MOSAA Determiners
- Sites of Interest
- ABA (Applied Behavior Analysis) Provider Information
- The Connections App
- NM OpenBeds
- GME Expansion
Nursing Facility Level of Care (NFLOC)
The following Nursing Facility Level of Care information describes the intended use of the forms and presentations listed below:
The Nursing Facility Level of Care (NFLOC) Notification Form is used for prior authorization requests.
The Nursing Facility Level of Care (NFLOC) Communication Form is used by the MCOs and is sent to the nursing facility requesting further Resident information.
The 2013 Nursing Facility Presentation provides an overview of the criteria that are used and the documentation needed for evaluation of the level of care (High NF or Low NF) applicable for a nursing home Resident.
Title | Open File |
---|---|
NF LOC Criteria Instructions 2019 | Open File |
NFLOC Notification Form | Open File |
Community Reintegration NF Training Phase 3 | Open File |
LTC_Nursing Facility Checklist Final v4 | Open File |
NFLOC Communication Form | Open File |
NFLOC Criteria Phase 2 Training | Open File |
Nursing Facility Joint MCO Training | Open File |
Short Term Stay Checklist Final v2 | Open File |
Short Term Stay V3 | Open File |