PROVIDERS

Providers Overview
The Human Services Department oversees provider improvement in the Centennial Care program. Medical providers (Including hospitals and private practitioners) and managed care organizations can use this section to locate important provider resources.
With the close of the Public Health Emergency (PHE), the suspension of provider terminations has ended.
An E-Blast informing providers they would be terminated if their record has expired licenses and certification documents after August 22, 2023 was sent on 6/30/2023. The Medical Assistance Division (MAD) has decided to extend the deadline to 11/5/2023.
Please review the Provider Type and Specialty Code list to understand what required documents you need to submit to continue participating as a Medicaid provider. The Provider Type and Specialty Code list can be upload using the below link: https://nmmedicaid.portal.conduent.com/static/ProviderInformation.htm#ProviderEnrollment
You must submit all required documents before or by 11/5/2023. All Medicaid providers that fail to provide required documents will be terminated effective 11/1/2023.
You can upload your documents using the below link:
https://nmmedicaid.portal.conduent.com/webportal/licenseUpload?lastNodeClicked=804
For questions or concerns, please contact the Consolidated Customer Service Center at 1-800-299-7304
If you are a provider and wish to apply to provide services for the Agency-Based Community Benefit (ABCB), click here Agency Based Community Benefits (ABCB) Program
For the ABCB service requirements, please see the Centennial Care Managed Care Policy Manual, click here Managed Care Policy Manual
PLEASE NOTE: From July 1st, 2021 HSD/MAD is accepting Provider Applications for all Agency Based Community Benefit Services.
Attention All Behavioral Health Non-Medicaid Providers
Critical Incident Report Protocol
Critical Incident Report Form
Behavioral Health Collaborative
New Mexico Medicaid Portal
The New Mexico Medicaid Portal is an important link where providers can obtain information about policy & billing, claims submission, client eligibility, financial issues, Medicare, provider enrollment, third party liability, remittance advices, provider forms and more.
New Mexico Medicaid Portal
Conduent State Healthcare, LLC
Conduent is the Fiscal Agent for New Mexico Medicaid and has an integral role in the submission and processing of Medicaid claims. Should you need to contact Conduent, click on the following link to locate the appropriate Conduent Help Desk phone number.