Office of Community Health Workers Resources

NM CHW/R Medicaid Reimbursement Model

The following resources will assist with billing and reimbursement of your services for FFS individuals (not enrolled with a NM Managed Care Organization):

• NM CHW/R Medicaid Reimbursement Toolkit - Updates forthcoming with new Turquoise Care Provider Enrollment Portal information.
• 24-08 Supplement: HCA Guidance for CHW/R Providers
• 1500 Standing Orders CHW Form
• Code of Ethics

Healthcare Authority (HCA) Hyperlinks:

• 24-08 Supplement: HCA Guidance for CHW/R Providers
• Letter of Direction #38 MCOs for CHW.R Benefit

New Mexico Managed Care Organization (MCOs) Hyperlinks:

If you intend to service Medicaid recipients enrolled with the Managed Care Organizations, you will need to make contact with the MCOs to complete a new or update your current contract.

• BlueCross BlueShield Network Participation
• Molina Healthcare (MHC): email at NMProviderContracting@MolinaHealthcare.com
• Presbyterian Health Plan (PHP)
• United Health Care (UHC) and email at MHNMCredentialing@MolinaHealthcare.com

Office of Community Health Workers

Resources

Community Health Workers And Chronic Conditions Training Program Community Health Workers And Chronic Conditions Training Program This CHW site allows you to register and participate in their training program.

Community Health Workers Application System Community Health Workers Application System This is the new online application system for Community Health Worker Certification.

New Service Provider IdentoGO FAQ May 2023 New Service Provider IdentoGO FAQ May 2023 New Service Provider IdentoGO FAQ May 2023

NMAC 7.29.5 NMAC 7.29.5 Certification of Community Health Workers

NMSU (Dona Ana) - Community Health Worker Certificate NMSU (Dona Ana) - Community Health Worker Certificate NMSU Community Health Worker Certificate

Senate Bill 58 - Community Health Workers Act Senate Bill 58 - Community Health Workers Act This is a copy of the Community Health Workers Act found on the New Mexico Legislature website.

Taos Campus Taos Campus The Community & Public Health Program at UNM-Taos is a unique partnership between the UNM-Health Sciences Center (Office for Community Health) and the UNM-Taos branch campus. It provides trainees with a foundational set of knowledge and skills aligned with national workforce studies and industry-recognized standards. It is fully-endorsed by the New Mexico Department of Health (NMDOH), and completion of the program confers graduates with eligibility to apply for NM state certification as a Community Health Worker (CHW-C). Financial aid is available for students who qualify, and the program is open to dual enrollment students.

TRAIN NM TRAIN NM TRAIN NM

UNM Community Health Workers Initiatives UNM Community Health Workers Initiatives UNM Community Health Workers Initiatives