LOOKING FOR INFORMATION

Centennial Care Letters of Direction

Inactive – LOD #1 – The Centennial Home Visiting Pilot Program – Repealed and replaced by LOD #1-1

LOD #1-1 – Guidance for the 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Inactive – LOD #3 – Tracking Measure Reporting Requirements- Repealed and replaced by LOD #16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

LOD #5 – Implementation of the Annual Consumer, Family-Caregiver and Youth Satisfaction Project Survey

Inactive – LOD #6 – Compilation of NF LOC Criteria and Instructions eff. 1/1/2019 – Sunset on inclusion in the Managed Care Policy Manual eff. 10/1/2020

Inactive – LOD #7 – Directed Payment to UNM Medical Group- Repealed and replaced by LOD #9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Inactive – LOD #9 – Directed Payment to UNM Medial Group- Repealed and Replaced by LOD #9-1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 #9-1- UNM Medical Group and UNM Hospital Professional Group Directed Payment Repeal & Replace LOD #9

Inactive – LOD #10 – CY19 Telemedicine DSIPT- Repealed and replaced by LOD #11

Inactive – LOD #11 – CY19 Telemedicine DSIPT- Sunset upon completion of the CY19 DSIPT Reporting Period

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Inactive – LOD #13 – Hospital Payment Rate Increase- Repealed and replaced by LOD #14

Inactive – LOD #14 – Hospital Payment Rate Increase- Repealed and replaced by LOD #20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Inactive – LOD #16 – Tracking Measure Reporting Requirements- Repealed and replaced by LOD #22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 #18 – Use of Electronic Visit Verification for EPSDT Personal Care Services

LOD #19 – Medicaid Provider Payment Rates

LOD #20 – Hospital Payment Rates Effective July 1, 2019 Repeal LOD #14

Inactive – LOD #21 – CBSQ and CBMA-Sunset on inclusion in the Managed Care Policy Manual eff. 10/1/2020

Inactive – LOD #22 – Tracking Measure Reporting Requirements- Repealed and replaced by LOD #33

Inactive- LOD #23 – Delivery System Improvement Performance Targets (DSIPTs)- Sunset on inclusion in Contract Amendment #2

Inactive- LOD #24 – 2020 Performance Measures and Targets- Sunset on inclusion in Contract Amendment #2

Inactive- LOD #25 – Payment Rate Increases Effective January 1, 2020- Repealed and Replaced by LOD #28

Inactive- LOD #26 – Quarterly Care Coordination Performance Standards- Sunset on inclusion in Contract Amendment #2

Inactive-LOD #27 – CY 19 Performance Measures – Sunset on issuance of Contract Amendment 2

Inactive-LOD #28 – Payment Rate Increases Effective January 1, 2020 Repealed and Replaced by LOD 28-1

LOD #28-1 – 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)

LOD #33 – Tracking Measure Reporting Requirements Repeal & Replace LOD #22

LOD #34 – Tobacco Cessation Coverage for all MAP Recipients

Inactive-LOD #35 – UNM Hospital Directed Payment -Repealed and Replaced by LOD #35-1

LOD 35-1 – UNM Hospital Directed Payment

LOD #36 – Hospital Access Program (HAP) Directed Payment

LOD #37 – Nursing Facility Value Based Purchasing (NF VBP)

LOD #38 – Change Contact Requirements for DTE Members requiring a CNA

LOD #39 – Care Link New Mexico Health Homes

LOD #40 – 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 #43 – Community Benefit Reconciliation

LOD #44 – ABA Payment Rates Increases Effective October 1, 2019

LOD #45 – Adult Accredited Residential Treatment Centers

LOD #46 – Medical Residency Pilot Program

LOD #47 – HCQS Per Diem and MBI increase for SFY 2021

LOD #48 – Reconciliation of claims for the ABA Payment Rates Increases Effective October 1, 2019

LOD #49 – MCO Payment Recoupment from Providers

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

LOD #54 – BH DSIPT

Inactive-LOD #55 – Provider Changes for Minimum Wage Adjustment

LOD #55-1 – Provider Changes for Minimum Wage Adjustment

LOD #56 – CareLink NM Health Homes

LOD #57 – Gross Receipts Tax (GRT)

LOD #58 – CY 20 Performance Measures

LOD #59 – Non-Clinical PIPs Revision

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 – COVID-19 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

Inactive-Special COVID-19 LOD #8 – COVID-19 Testing and Treatment Services and Codes Repealed and Replaced by Special COVID-19 LOD #8-1

Inactive-Special COVID-19 LOD #8-1 – COVID-19 Testing and Treatment Services and Codes

Special COVID-19 LOD# 8-2 – COVID-19 Testing and Treatment Services and Codes

Inactive-Special COVID-19 LOD #9 – COVID-19 Special Requirement for Prior Authorization and Cost-Sharing

Special COVID-19 LOD #9-1 – COVID-19 Special Requirement for Prior Authorization and Cost-Sharing

Inactive-Special COVID-19 LOD #10 – 2020 Hospital Inpatient Payment Rate Increases- Repealed and Replaced by Special COVID-19 LOD #10-1

Special COVID-19 LOD #10-1 -COVID-19 DRG & ICU Hospital Inpatient Payment Rate Increases Repeal and Replace Special COVID-19 LOD #10

Inactive- Special COVID-19 LOD #11 – Reporting Requirements- Repealed and Replaced by Special COVID-19 LOD #11-1

Special COVID-19 LOD #11-1 – Reporting Requirements- Repeal and Replace Special COVID-19 LOD #11

Inactive-Special COVID-19 LOD #12 – Community Benefit Appendix K – Repealed and Replaced by Special COVID-19 LOD #12-1

Special COVID-19 LOD #12-1- Community Benefit Appendix K

Special COVID-19 LOD #13 – Telehealth Services during the COVID-19 Emergency

Special COVID-19 LOD #14 – COVID-19 Rate Increase for ALFs

Special COVID-19 LOD #15 – MCO Guidance for COVID-19 Positive Members in Nursing Facilities

Inactive-Special COVID-19 LOD #16 – Non-DRG Hospital Inpatient Payment Rate Increase

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

Special COVID-19 LOD #18 – Billing and Reimbursement for Testing and Services Rendered Offsite for FQHCs, IHS and Tribal 638 Facilities, RHCs, and HBRHCs

Inactive-Special COVID-19 LOD #19 – NM DOH COVID-19 Claims – Waive Timely Filing

Special COVID-19 LOD #19-1 – COVID -19 Claims-Waive Timely Filing for All Medicaid enrolled Providers

Special COVID-19 LOD #20 – Surveillance Testing

Special COVID-19 LOD #21 – Provider Rate Increases and Claims Adjustments for dates of service April 1, 2020 – June 30, 2020