ABOUT THE DEPARTMENT
To transform lives. Working with our partners, we design and deliver innovative, high quality health and human services that improve the security and promote independence for New Mexicans in their communities.
Primary Care Council
New Mexico Primary Care Council
The Primary Care Council is a community body established through House Bill 67 in the 2021 New Mexico Legislature.
Medicaid Primary Care Payment Reform
Payment Reform Update:
We are awaiting the launch of the Net Health portal, anticipated to be available by the end of July. Once the portal is live, primary care practices will receive detailed instructions on how to complete their eligibility screening and subsequent registration (if determined to be eligible).
In the interim, we encourage you to stay informed by regularly visiting this website for updates. Additionally, please utilize the Primary Care Provider Readiness Checklist, which has been designed to assist providers in preparing for the upcoming changes.
Join the New Mexico PCPR Contact List
New Mexico PCPR One Page Summary
New Mexico PCPR Provider Informative Video- Coming Soon
Contact Joshua Nelson (joshua.nelson@hca.nm.gov) Strategic Operations Manager, or Health Management Associates (NewMexicoPCPR@healthmanagement.com) if you have any questions regarding this initiative.
Primary Care Payment Reform Webinar and Training Dates
Submit feedback or questions related to the Primary Care Payment Reform here
UPCOMING WEBINARS AND TRAININGS:
RESCHEDULED! July 26, 2024: NM PCPR Webinar: Overview of Net Health Portal and live Q&A Session for MCOs & Providers- Register Here
OFFICE HOURS:
Office Hours are hosted every Wednesday at 12:00PM. This is an opportunity for stakeholders to ask questions about the upcoming implementation of the new primary care payment reform in New Mexico.
Weekly, July 10th – October 30th 12:00-12:30 PM – Register Here
NEW! PROVIDER PLANNING MEETINGS:
As part of the criteria to qualify for the first quarter bonus payment, providers must attend ONE Patient Experience and SBIRT Planning Meeting. These are focus group-style convenings to solicit provider feedback as we design the Patient Experience of Care and SBIRT measures to be applicable to primary care practices in New Mexico. All sessions will cover the same material and practices only need to attend one.
August 22, 2024, 12:30-2:00 p.m. MST– Register Here
September 12, 2024, 12:30-2:00 p.m. MST– Register Here
September 17, 2024, 12:30-2:00 p.m. MST– Register Here
NEW DATE ADDED! October 3, 2024, 12:30-2:00 p.m.- Register Here
To review the additional criteria that must be met to qualify for a Q1 bonus payment, please see the data collection & reporting specifications documents in the “NM PCPR New Resources for Data Collection and Reporting in SFY2025, Q1” section.
NM PCPR New Resources for Data Collection and Reporting in SFY2025, Q1
July – September
- Defining Primary Care Practice: Criteria for Inclusion in the Payment Model
- PC Checklist Redesigning Workflows for VBP
- NM PCPR Patient Visits Data Collection Template
- NM PCPR TNAA Data Collection Template
- Net Health NM PCPR Provider Data Collection TNAA
- Net Health NM PCPR Provider Data Collection Patient experience
- Net Health NM PCPR Provider Data Collection Patient Visits_
- Net Health NM PCPR Provider Data Collection_SBIRT Measure
- Net Health NM PCPR MCO Data Collection Data Reporting Standards Measures
- Net health Encounter Acceptance Rate File Technical Specifications
- New Mexico PCPR Provider Guidebook- July 2024 Update – coming soon
- New Mexico PCPR MCO Guidebook- July 2024 – coming soon
- New Mexico PCPR Provider Video – July 2024 – coming soon
Video: Overview of the NM Primary Care Payment Model
Presented by HSD and hosted by the New Mexico Medical Society
Materials, Recordings & Resources
Office Hours, June 17, 2024
Report: New Mexico PCPR Provider Workshops Summary
Report: New Mexico Primary Care Payment Reform Provider and Clinician Readiness Assessment
Updated Eligibility, Intake, and Onboarding Process & Patient Experience Measure Update
New Mexico PCPR: Virtual Provider Readiness Workshop
Provider Readiness Webinar: Preparing your Practice for Redesigning Your Workflows for Value-Based Care
Office Hours, June 12, 2024 Slide Deck
Primary Care Practice: Criteria for Inclusion in the PCPR
Primary Care Practice- Criteria for Inclusion in the Primary Care Model for Incentive Payments
Primary Care Provider Webinar: PCPR - Collecting and Reporting Quality Data Part 2 (5.1.24)
Here is the link for the training webinar from 5.1.24: vimeo.com/946242612/56f452707b?share=copy
Primary Care Provider Webinar: PCPR - Collecting and Reporting Quality Data Part 1 (3.20.24)
Here is the link for the training webinar from 3.2.24: LINK HERE
Primary Care Provider Webinar: PCPR - Internal Reporting Infrastructure (2.21.24)
- Recording of 2/21/24 webinar titled Internal Reporting Infrastructure: Internal Reporting Infrastructure
Primary Care Provider Webinar: PCPR - Measurement Framework in Depth (1.18.24)
- Recording of 1/18/24 webinar titled Measurement Framework in Depth: Measurement Framework in Depth
Webinar Recording: - Data Collection, Analysis, and Reporting (7.2.23)
Recording of 7/20/23 webinar titled Data Collection, Analysis, and Reporting: Data Collection, Analysis, and Reporting Capabilities
New Mexico Primary Care Council 2023 Strategic Plan
New Mexico Primary Care Council 2023 Strategic Plan
https://www.hca.nm.gov/wp-content/uploads/2023-PCC-Strategic-Plan.pdf
3-29-23 PCC Quarterly Meeting Materials
https://www.hca.nm.gov/wp-content/uploads/PCC-PPT2023_03_29-2.pdf
6-9-23 PCC Quarterly Meeting Materials
https://www.hca.nm.gov/wp-content/uploads/PCC-PPT2023_06_09_v2.pdf
8-30-23 PCC Quarterly Meeting Materials
https://www.hca.nm.gov/wp-content/uploads/PCC-PPT2023_08_30_emw.pdf
New Mexico Primary Care Council 2022 Strategic Plan
8-19-22 Primary Care Council Meeting Materials
11-9-22 Primary Care Council Meeting Materials
5-20-22 Primary Care Council Meeting Materials
2-26-22 Primary Care Council Meeting Materials
10-27-21 Primary Care Council Meeting Presentation
Presentation available to view here: https://www.hca.nm.gov/wp-content/uploads/FINAL-PCC-PPT2021_10_27.pdf
PRIMARY CARE COUNCIL INAUGURAL MEETING PowerPoint
https://www.hca.nm.gov/wp-content/uploads/Update-FINAL-PCC-Inaugural-Meeting-PPT2021_07_24_ACS.pdf