Behavorial Health Policy and Billing Manual; Health Home Policy Manual; HIPAA Standard Companion Guides; Managed Care Policy Manual; Agency Based Community Benefits (ABCB) Nursing Facility Level of Care (NFLOC) New Mexico Administrative Code Program Rules and Billing. Conduent New Mexico Medicaid Project provides fiscal agent operations services for the state of New Mexico's Fee For Service Medicaid program. Network Management and Operations DepartmentMolina Healthcare of New Mexico, Inc. We appreciate your feedback about our website. Thank you for providing quality healthcare to our Members, and for your continued support of Molina Healthcare. Please enter all the mandatory fields for the form to be submitted, For questions or comments about your coverage, or for more information, please, Culturally and Linguistically Appropriate Resources / Disability Resources, Opioid Safety Provider Education Resources, Molina Healthcare Medical Insurance Marketplace. Conduent contracts with the New Mexico Medical Assistance Division to process fee-for-service claims. New Mexico Medicaid … 2018 Provider Manual This Provider Manual has been prepared to serve as a guide for working with Molina Healthcare of New Mexico, Inc. (Molina Healthcare) managed care products. Molina Healthcare strives to assure this manual will be a useful tool for you and your staff to reference regarding Molina Healthcare Policies and Procedures. We appreciate your feedback about our website. Medicaid Provider Manual Due to the size of this document (approximately 16MB), you may experience a delay before it opens. The Human Services Department mission is: To transform lives. Molina Healthcare welcomes your suggestions and comments as to how we can make this a more efficient tool for you. Cookies are used to improve the use of our website and analytic purposes. By using our website, you consent to our use of cookies in accordance with our Privacy Policy. We use cookies on our website. To receive a printed copy, please contact your Provider Services Representative in Albuquerque at (505) 341-7493 or toll free at (888) 825-9266. The Molina Healthcare of New Mexico, Inc. All contracted providers will receive an updated Provider Manual annually, which will be made available at www.MolinaHealthcare.com. The Molina Healthcare of New Mexico, Inc. Uniform New Mexico HCV Checklist for Centennial Care; Manuals and Guides. We use cookies on our website. I AM ALREADY ENROLLED IN THE NEW MEXICO MEDICAID PROGRAM. The Provider Manual is updated and published once a year. Molina Healthcare strives to assure this manual will be a useful tool for you and your staff to … All other documents on this website are accessible using a … Provider Manual has been updated to reflect all changes, updates, and policy clarifications since our last publication. All changes and updates will be updated and posted to the Molina Medicare website under "Communications" as they occur. New Mexico Medicaid Portal. This Provider Manual has been prepared to serve as a guide for working with Molina Healthcare of New Mexico, Inc. (Molina Healthcare) managed care products. Unable to take your feedback now, Please try again later. Working with our partners, we design and deliver innovative, high quality health and human services that improve the security and promote independence for New Mexicans in their communities. View or download the provider manual; Medical Policies and Clinical UM Guidelines. 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We look forward to hearing from you. The BlueCross BlueShield Provider Manual provides key administrative information, including the quality improvement program, the UM program, quality standards for participation, claims appeals, and reimbursement and administration policies. Upcoming Online Provider Education Conferences. The New Mexico Medicaid Portal is an important link where providers can obtain information about policy & billing, claims submission, client eligibility, financial issues, Medicare, provider enrollment, third party liability, remittance advices, provider forms and more.