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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Inactive – LOD #1 – Guidance for CHV Program Implementation – Repealed and Replaced by LOD #1-1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Inactive – LOD #3 – Tracking Measure Reporting Requirements- Repealed and replaced by LOD #16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Inactive – LOD #7 – Directed Payment to UNM Medical Group- Repealed and replaced by LOD #9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Inactive – LOD #9 – Directed Payment to UNM Medial Group- Repealed and Replaced by LOD #9-1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 #9-3 – 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Inactive – LOD #10 – CY19 Telemedicine DSIPT- Repealed and replaced by LOD #11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Inactive – LOD #13 – Hospital Payment Rate Increase- Repealed and replaced by LOD #14
Inactive – LOD #14 – Hospital Payment Rate Increase- Repealed and replaced by LOD #20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Inactive – LOD #16 – Tracking Measure Reporting Requirements- Repealed and replaced by LOD #22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Inactive – LOD #22 – Tracking Measure Reporting Requirements- Repealed and replaced by LOD #33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Inactive-LOD #30 – COVID-19 Guidance for CC 2.0 MCOs- Repealed and Replaced by LOD #31
Inactive-LOD #31 – COVID-19 Guidance for CC 2.0 MCOs- Repealed and Replaced by the “Special COVID-19 LODs” below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Inactive-LOD #35 – UNM Hospital Directed Payment -Repealed and Replaced by LOD #35-1
Inactive-LOD #35-1 -UNM Hospital Directed Payment-Repealed and Replaced by LOD #35-2
Inactive-LOD #35-2 – UNM Hospital Directed Payment
LOD #35-3 – 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Inactive-LOD #36 – Hospital Access Program (HAP) Directed Payment-Repealed and Replaced by LOD #36-1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
Inactive – LOD #68-1 – Trauma Hospital Directed Payment
LOD #68-2 – Trauma Hospital Directed Payment
Inactive – LOD #70 – I.H.S. & Tribal 638 Outpatient Pharmacy Reimbursement Change
LOD #70-1 – I.H.S & Tribal 638 Outpatient Pharmacy Annual Reimbursement Rate Changes
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
Inactive-LOD #75 – Minimum Wage Adjustment
LOD #75-1 Minimum Wage Adjustments Repeal and Replace #75
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
LOD #81 – Critical Incident Performance Measures
LOD #82 – MCO Requirements for NMHIX aka beWellnm Coverage
LOD# 83 – HCQS Per Diem and MBI increase for SFY 2023
LOD #85 – Community Benefit Audits
Inactive-LOD #86 – Out of-state Treatment Foster Care
LOD #86-1 – Out of-state Treatment Foster Care Repeal and Replace #86
LOD #87- MCO Quarterly Pharmacy and Therapeutics Committee Meeting Updates
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 #6-1 – In-Home Services & 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
The next quarterly meeting of the Primary Care Council will be held in early 2023 (date TBA). The meeting is open to the public and will be held via zoom:
https://us02web.zoom.us/j/85812829319?pwd=bTljTFVHZmRhMDZzanRnZitldGoxZz09
Meeting ID: 858 1282 9319
Passcode: 521129
One tap mobile
+13462487799,,85812829319#,,,,*521129# US (Houston)
+16694449171,,85812829319#,,,,*521129# US
Please contact Elisa Wrede, Primary Care Project Manager, with any questions: Elisa.Wrede@state.nm.us.