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Provider Packet Appendix

To find your provider packet number, find your specific provider type and specialty in the table below. If you need assistance in determining which provider type and specialty you are enrolled as, contact ACS 's Provider Enrollment Department at 1-800-299-7304 ext. 193 or (505) 246-0710 ext. 193. Please be prepared to provide them with you NM Medicaid Provider number.

In the table below, click on the Packet No. link to advance to the next screen which will list the program policy manual parts which apply to you specific provider type and specialty.

You may download all parts listed in your specific packet number but it is your responsibility to periodically check the website to see if updates have been made to any of those parts. Providers will continue to receive mail outs when amendments are made to sections listed in their specific packets

A1 Physician/Physician Groups 301, 302, 303, 304, 311, 316, 321 001, 008, 021
A2 Physician/Physician Groups 301, 302, 303, 304 030, 032, 036
A3 Physician/Physician Groups 301, 302, 303, 304 006, 041
A4 Physician/Physician Groups 301, 302, 303, 304 025
A5 Physician/Physician Groups 301, 302, 303, 304 003, 007, 010, 011, 013, 022, 023, 028, 029, 034, 038, 044, 046
A6 Physician/Physician Groups 301, 302, 303, 304 002, 014, 020, 024, 033, 040
A7 Physician/Physician Groups 301, 302, 303, 304 019, 037, 042, 043
A8 Physician/Physician Groups 301, 302, 303, 304, 318 005
A9 Physician/Physician Groups 301, 302, 303, 304 004, 017
A10 Physician/Physician Groups 301, 302, 303, 304 018
A11 Physician/Physician Groups 301, 302, 303, 304, 312 015, 016
A12 Physician/Physician Groups 301, 302, 303, 304 026, 047
A13 Physician/Physician Groups 301, 302, 303, 304 012, 027, 048, 049
A14 Physician/Physician Groups 301, 302, 303, 304 039
B1 Hospitals 201, 202, 203, 204, 205 N/A
B2 Hospitals 221 N/A
C1 Nursing Facilities 211, 212, 213 N/A
C2 ICF-MR 214, 215 N/A
C3 Waiver 344 070, 071, 072, 073, 074, 075, 076, 077
C4 Personal Care 363 N/A
D1 EPSDT Providers- Institutional 216, 217, 218 N/A
D2 EPSDT Providers Special Rehabilitation (Early Intervention), DD 441 083
D3 EPSDT Providers - Private Duty Nursing 324 N/A
D4 EPSDT Providers - LISW 457 N/A
D5 EPSDT Providers - Schools Enhanced EPSDT Services 441 081, 082
D6 EPSDT Providers - Enhanced EPSDT Services 345 N/A
E1 Rural Health Clinic 314, 315 N/A
E2 FQHC 313 N/A
E3 Dentist 421, 422, 423 055, 056
E4 Optometry 334, 335 N/A
E5 Midwife 322, 323 N/A
E6 Podiatry 325 N/A
E7 Mental Health Professional Services 301, 302, 431, 432, 433, 435, 436, 437, 439, 443, 444, 445 026, 047
E8 Audiology Services 331 N/A
E9 Chiropractor 341  
E10 Psychosocial 441 080
F1 Laboratory/Radiology 351, 352, 353 N/A
F2 Pharmacy 416, 417 N/A
F3 Medical Suppliers 336, 337, 338, 411, 414 N/A
F4 Nutrition 333 N/A
F5 Meals & Lodging 346 N/A
F6 Hearing Aid 412 N/A
F7 Ambulatory Surgical Center 364 N/A
F8 Transportation 401, 402 N/A
F9 Taxi Cab/Handivan Transportation 403, 404 N/A
G1 Renal Dialysis 447 N/A
G2 Hospice 362 N/A
G3 Home Health 361 N/A
G4 Rehabilitation Services 451, 452, 453, 454, 455 N/A
G5 Case Management 462 060, 061, 062, 063, 064, 065, 066, 067