Fee for Service Provider Information
Providers must be enrolled as Medicaid providers before submitting claims for payment to Affiliated Computer Services (ACS) the New Mexico Medicaid Fiscal Agent. The MAD Benefits Bureau is responsible for enrolling Medicaid fee-for-service providers, with the exception of intermediate care facilities, personal care agencies, nursing home facilities (enrolled by the MAD Program Planning Bureau), and presumptive eligibility determiners (enrolled by MAD Client Services Bureau.)
According to Medical Assistance Division (MAD) policy 701.1, upon approval of New Mexico Medical Assistance Provider Participation Agreement (PPA) by MAD, licensed practitioners or facilities that meet applicable requirements are eligible to be reimbursed for covered services rendered to Medicaid recipients.