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Centennial Care Letters of Direction
Inactive – LOD #1 – Guidance for CHV Program Implementation – Repealed and Replaced by LOD #1-1
LOD 1-1 Repeal and Replace CHV Program Implementation, Statewide
LOD #2 – Community Intervener I and II
Inactive – LOD #3 – Tracking Measure Reporting Requirements- Repealed and replaced by LOD #16
Inactive – LOD #4 – Nursing Facility Level of Care extensions- Sunset 6/30/2019
Inactive – LOD #7 – Directed Payment to UNM Medical Group- Repealed and replaced by LOD #9
Inactive – LOD #8 – Valle Del Sol Payment of Adult Psycho-Social Rehab Services-Sunset 6/30/2019
Inactive – LOD #9 – Directed Payment to UNM Medial Group- Repealed and Replaced by LOD #9-1
LOD #9-2 – UNM Medical Group and UNM Hospital Professional Group Directed Payment
Inactive – LOD #10 – CY19 Telemedicine DSIPT- Repealed and replaced by LOD #11
LOD #12 – Medicaid Provider Payment Rates
Inactive – LOD #13 – Hospital Payment Rate Increase- Repealed and replaced by LOD #14
Inactive – LOD #14 – Hospital Payment Rate Increase- Repealed and replaced by LOD #20
Inactive – LOD #15 – Payment to Raton Nursing & Rehabilitation center- Sunset 11/30/2019
Inactive – LOD #16 – Tracking Measure Reporting Requirements- Repealed and replaced by LOD #22
Inactive – LOD #17 – SUPPORT Act Requirements- Sunset on inclusion in Contract Amendment #2
LOD #19 – Medicaid Provider Payment Rates
LOD #20 – Hospital Payment Rates Effective July 1, 2019 Repeal LOD #14
Inactive – LOD #22 – Tracking Measure Reporting Requirements- Repealed and replaced by LOD #33
LOD #28-2 – Payment Rate Increases Effective January 1, 2020
Inactive-LOD #29 – ABP Corrections- Sunset on inclusion in Contract Amendment #2
Inactive-LOD #30 – COVID-19 Guidance for CC 2.0 MCOs- Repealed and Replaced by LOD #31
Inactive-LOD #31 – COVID-19 Guidance for CC 2.0 MCOs- Repealed and Replaced by the “Special COVID-19 LODs” below
LOD #32 – Health Care Quality Surcharge (HCQS) created by Senate Bill 246 (SB246)
Inactive-LOD #33 – Tracking Measure Reporting Requirements Repeal and Replaced LOD #22
LOD #33-1- Tracking Measure Reporting Requirements
Inactive-LOD #35 – UNM Hospital Directed Payment -Repealed and Replaced by LOD #35-1
Inactive-LOD #35-1 -UNM Hospital Directed Payment-Repealed and Replaced by LOD #35-2
LOD #35-2 – UNM Hospital Directed Payment
Inactive-LOD #36 – Hospital Access Program (HAP) Directed Payment-Repealed and Replaced by LOD #36-1
Inactive-LOD #36-1-Hospital Access Program (HAP) Directed Payment-Repealed and Replaced by LOD #36-2
LOD #36-2 – Hospital Access Program (HAP) Directed Payment
LOD #37 – Nursing Facility Value Based Purchasing (NF VBP)
Inactive-LOD #39 – Care Link New Mexico Health Homes-Sunset on 12/31/2020
LOD #40-1 – Medication Assisted Treatment (MAT) Medications; Narcan and Naloxone
LOD #41 – MCO Program Integrity Requirements
LOD #42 – Transition of Payment from Medicaid to Medicare for OTP Services
LOD #44 – ABA Payment Rates Increases Effective October 1, 2019
Inactive-LOD #45 – Adult Accredited Residential Treatment Centers-Repealed and Replaced by LOD #45-1
Inactive-LOD #46 – Medical Residency Pilot Program- Sunset
LOD #47 – HCQS Per Diem and MBI increase for SFY 2021
Inactive-LOD #49 – MCO Payment Recoupment from Providers-Sunset upon inclusion in the Systems Manual
LOD #50 – Naturopathic Doctors: Participation in the NM Medicaid Program
LOD #51 – New 1915 (c) Home and Community-Based Services Program – Supports Waiver
LOD #52 – MCO Systems Configurations for BH Claims from FQHC Satellite Locations
LOD #53 – Managed Care Subrogation Recoveries
Inactive-LOD #55 – Provider Changes for Minimum Wage Adjustment-Repealed and Replaced by LOD #55-1
Inactive-LOD #56 – CareLink NM Health Homes -Sunset December 31,2021
LOD #57 – Gross Receipts Tax (GRT)
LOD #58 – CY 20 Performance Measures
LOD #59 – Non-Clinical PIPs Revision
LOD #60 – NDC Requirement for Drug Rebate Collection and 340B Claim Billing
LOD #61 – Change Contract Requirements for Full Delegation Model Members
LOD #63 – Grievances Appeals Systems
LOD #65 – HCQS Per Diem and MBI increase for SFY 2022
LOD #66 – Health Risk Assessment for Transitioning Members
LOD #67 – EOB Exception for Behavioral Health Services and Providers
Inactive-LOD #68 – Trauma Hospitals Directed Payment-Repealed and Replaced by LOD #68-1
LOD #68-1 – Trauma Hospital Directed Payment
LOD #70 – I.H.S. & Tribal 638 Outpatient Pharmacy Reimbursement Change
Inactive-LOD #71 – Bernalillo Academy Reimbursement for Multiple Assessments-Sunset on 12/31/2021
LOD #72 – MY 2020 CAHPS 5.0H Revised State Supplemental Questions
LOD #73 – Performance Measures Reporting Requirements
LOD #74 – Revision to Comprehensive Care Plan Requirements
LOD #75 – Minimum Wage Adjustment
LOD #76 – CAHPS 5.0H AHRQ Reporting and Revised Supplemental Questions
LOD #77 – Revision to PCP and Pharmacy Lock-In Requirements
LOD #78-1 – Pharmaceutical Service Reimbursement Parity
LOD #79 – 15 % Temporary Economic Recovery Payments for HCBS Services
LOD #80 – SBHC LARC Inventory Pilot Project
Special COVID-19 Letters of Direction
Special COVID-19 LOD #1 – Medicaid Expedited Claims Payments
Special COVID-19 LOD #2 – COVID-19 Guidance for Hospitals using Alternate Care Sites
Special COVID-19 LOD #3 – Provider Network and Out-of-Network Requirements
Special COVID-19 LOD #4 – COVID-19 MCO Guidance for Fair Hearings
Special COVID-19 LOD #5 – Member and Provider Communication Protocols
Special COVID-19 LOD #6 – Care Coordination and Other In-Home Services and Community Benefits
Special COVID-19 LOD #7 – Special Requirements for Pharmacy and Waiver of Signature
Special COVID-19 LOD #8-3 – Testing and Treatment Services and Codes
Special COVID-19 LOD #9-1 – COVID-19 Special Requirement for Prior Authorization and Cost-Sharing
Special COVID-19 LOD #11-1 – Reporting Requirements- Repeal and Replace Special COVID-19 LOD #11
Special COVID-19 LOD #12-1- Community Benefit Appendix K
Special COVID-19 LOD #13-1 – Telehealth Services during the COVID-19 Emergency
Special COVID-19 LOD #14 – COVID-19 Rate Increase for ALFs
Special COVID-19 LOD #16-1 – Non-DRG Hospital Inpatient Payment Rate Increase
Special COVID-19 LOD #17 – COVID-19 Guidance: NEMT and State Isolation Sites