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Medicaid Will Transition to Turquoise Care on July 1, 2024

Medicaid will transition to Turquoise Care on July 1, 2024 Click here to read a message from the NM Human Services Department's Medicaid Director regarding the transition.

Join Us In Promoting Medicaid Open Enrollment and the Turquoise Care Roadshow

We're excited to inform you that Medicaid open enrollment has begun as of April 1st, continuing through May 31, 2024. This year, the state is introducing Turquoise Care, the New Mexico Medicaid Managed Care program, set to begin on July 1, 2024.

Click here for more information

FOR IMMEDIATE RELEASE: NM Medicaid Primary Care Reform Training Invitation

In 2024, the New Mexico Human Services Department will be presenting the Primary Care Payment Reform Provider Readiness Series. Click here to view dates and learn how to register.

URGENT ACTION REQUIRED: EVV Home Health and Medically Fragile Providers: Your Claim Submission Process Will Change Effective January 1, 2024

The claim submission process will change effective January 1, 2024, for the following provider types:

Home Health Providers associated with Provider Type 361 (Home Health Agency)

  • Services include Skilled Nursing, Home Health Aide and Therapies

Medically Fragile Providers

  • Services include Home Health Aide and Home Health Aide-Respite

The 21st Century Cures Act mandates that States shall implement Electronic Visit Verification (EVV) for all Home Health Services which require an in-home visit by a healthcare worker.

Changes will require Providers to use AuthentiCare, rather than the Medicaid Portal, to enter and submit claims.

Click here for more information.

ATTENTION: Certain Flexibilities That Were Allowed During the COVID-19 Public Health Emergency Have Ended.

Certain flexibilities that were allowed during the COVID-19 public health emergency have ended, and you may be required to submit outstanding documents, such as Licenses or Revalidation, to continue serving Medicaid members.

You can upload your documents using the below link to the web portal:

https://nmmedicaid.portal.conduent.com/webportal/licenseUpload?lastNodeClicked=804

If you are faxing documents, please use the following number: 1-866-653-1439.

If you are emailing documents, please send to the following email box: NM.Providers@state.nm.us

You can submit your TAD using the below link to the web portal:

https://nmmedicaid.portal.conduent.com/webportal/enrollOnline

For questions or concerns, please contact the Consolidated Customer Service Center at 1-800-299-7304

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Electronic Visit Verification (EVV)

Communication to all providers:

Palco has published several resources to help you with utilizing Electronic Visit Verification (EVV) and ensuring a smooth payroll.

  • For self-directed employees: Please ensure Palco has the most up to date Direct Deposit and W4 withholding information! You can update these at any time by submitting a Pay Selection Form or 2021 W-4 located on the Palco website. We highly encourage everyone to sign up for Direct Deposit or request a free Money Network Card to ensure fast and seamless payments. In addition to these forms, you can find the Payroll Resources Flyer with helpful information on ensuring your payroll is correct and accurate with Palco https://palcofirst.com/new-mexico/ to ensure that you are receiving stubs on time, please make sure your address is updated in Focos.
  • For self-directed vendor providers: Please ensure that you are submitting a Vendor Payment Request (VPR) to the EOR to ensure timely review and payment.
  • For DDW and Supports Waiver agency providers: Please see https://palcofirst.com/new-mexico/

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Public Charge Rule


The federal government has finalized a revised and expanded public charge rule that may impact immigrants' applications for visas, permanent residency or admission to the United States. The new rule is effective Feb. 24, 2020.

https://www.hsd.state.nm.us/LookingForAssistance/public-charge-rule.aspx.

The new versions of the applications are posted here.

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2019/2020 Influenza Season


Vaccination recommendations for the 2019/2020 Influenza season have been released from the Medical Assistance Division Medicaid Drug Utilization Review Board. Influenza Vaccination 2019-2020 Document.

Please note the Prescriber Response Form provided with the newsletter and provide any feedback on future publications.

If you have any questions please call the Consolidated Customer Service Center (CCSC) at 1-800-299-7304.