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.
PLEASE NOTE: The network is closed for any new Personal Care Service Agencies. HSD/MAD and Conduent will not process any Medicaid applications for this provider type.
Attention All Behavioral Health Non-Medicaid Providers
A critical incident is a reportable incident that may include, but is not limited to, abuse, neglect, exploitation, death, environmental hazards, or law enforcement intervention that encompasses the full range of covered services.
Important changes to the Critical Incident Reporting (CIR) process, effective July 1, 2017
Optum Health New Mexico (OHNM) is no longer the Administrative Services Organization (ASO) for the State of New Mexico Interagency Behavioral Health Purchasing Collaborative.
Critical incident reporting for non-Medicaid constituents
As of July 1, 2017, all CIRs for non-Medicaid constituents should be faxed to State of New Mexico Interagency Behavioral Health Purchasing Collaborative using a new CIR form and fax number. Continue to follow the instructions found in the Behavioral Health Critical Incident Reporting
Protocol (April 2018). Use the revised form (CIR form Appendix A, December 2017) that includes the Collaborative fax number (505) 476-9272.
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.
Conduent Help Desk Contacts