The Human Services Department mission is: 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.

Utilization Review

Announcement: New Third-Party Assessor Contractor Effective March 1, 2015

The Human Services Department/Medical Assistance Division (HSD/MAD) has awarded the Medicaid Third-Party Assessor (TPA) contract to Qualis Health, effective March 1, 2015.  In order to facilitate the transition of TPA and utilization review (UR) services from Molina TPA to Qualis Health, HSD/MAD has established processing deadlines. Qualis can be reached at 1-866-962-2180 or

Qualis welcome letter

Pharmacy and Therapeutics

Pharmacy and Therapeutics

Drug Utilization Review (DUR) Newsletters

2017 Newsletters

2016 Newsletters

2015 Newsletters

2014 Newsletters

2013 Newsletters

2012 Newsletters

2011 Newsletters

2010 Newsletters

Skip to content