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New Mexico Medicaid Communication Update:

February 18, 2015

Notice to all Medicaid Providers and Managed Care Organizations (MCOs):

This is a reminder that there is a 90-day timely filing limit for Medicaid claims, either to the contracted MCOs or to Xerox as the State's Fee-For-Service Fiscal Agent. Timely filing limits may have been waived by the MCOs and Xerox during calendar year 2014 to provide additional flexibility during the Centennial Care transition. However, timely filing limits will again be enforced during calendar year 2015. Additionally, Providers have until March 31, 2015 to submit all claims with dates of service from 2014.

Note: For Schools, the timely filing limits are 120 calendar days for the initial filing period and 120 calendar days for the grace period (rather than 90 calendar days). For IHS and Tribal 638 compact facilities, the filing limit is 2 years from the date of service with no additional grace period.

_____________________________________________________________________________________________________________________________________________________________________ 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.