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
Utilization Review
Announcement: New Third-Party Assessor Contractor Effective March 1, 2015
The Health Care Authority/Medical Assistance Division (HCA/MAD) has awarded the Medicaid Third-Party Assessor (TPA) contract to Qualis Health, effective March 1, 2015. In order to facilitate the transition of TPA and utilization review (UR) services from Molina TPA to Qualis Health, HCA/MAD has established processing deadlines. Qualis can be reached at 1-866-962-2180 or
http://www.qualishealth.org/patients-families/new-mexico-medicaid