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New Mexico Medicaid Communication Update:

July 21, 2015

ICD-10 Provider and Submitter Testing

New Mexico Medicaid can accept ICD-10 test claims from Providers or Submitters, and we STRONGLY suggest you submit test claims as soon as you can. If you would like to inquire on ICD-10 Testing with New Mexico, please contact the
New Mexico HIPAA Helpdesk at (800) 299-7304 option 6 and then 4, or
call (505) 246-0710 option 4 or send an email of interest to HIPAA.Desk.NM@xerox.com.

_____________________________________________________________________________________________________________________________________________________________________ April 23, 2015

Emergency Medical Services for Aliens (EMSA) Claim (COE 85):

Recipient must obtain an approved MAD 310 from an ISD office and present the MAD 310 to the hospital or physician who rendered services. Providers must submit the EMSA claim on paper with the approved MAD 310 or Notice of Case Action and any other required documents such as ER notes, History and Physical for admission, discharge summary (if admitted), Surgical reports and Facility Transfer notes (if transported to another facility).

_____________________________________________________________________________________________________________________________________________________________________ February 18, 2015

ICD-10 and DSM-5 Implementation Date

The New Mexico Human Services Department wishes to confirm for Providers of Behavioral Health services that the implementation date for both ICD-10 and DSM-5 will be October 1st, 2015. Providers may have their systems configured prior to that date and testing may be an option with some payers. However, the firm implementation date remains October 1st, 2015.
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The New Mexico Web Portal extends the business capabilities of Medicaid program providers by offering user-friendly tools and resources electronically. Registered users may Log In to access the following interactive features of the portal:

  • Claim Status Inquiry
  • Prior Authorization Inquiry
  • Eligibility Inquiry
  • Payment History Inquiry
  • Reports and Data Files

Currently enrolled providers can register for portal access using Web Registration. New providers seeking to join the program can download a Provider Enrollment Packet for step-by-step instructions.

The left navigation menu contains hyperlinks for the interactive features that you may access while logged in. Hyperlinks located in the top and bottom navigation menus allow you to access additional useful information.

For more information about the web portal or New Mexico Medicaid program, turn to the FAQ, What's New, New Mexico Medicaid E-News, or Search functionality.