Molina Healthcare Providers New Mexico

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Welcome New Mexico Providers

Contracted providers are an essential part of delivering quality care to our members. We value our partnership and appreciate the family-like relationship that you pass on to our members.

As our partner, assisting you is one of our highest priorities. We welcome your feedback and look forward to supporting all your efforts to provide quality care.

If you have any questions, please call Provider Services at 1-888-825-9266.

Effective July 1, 2009 Molina Healthcare Third Party Assessor (TPA) is responsible for conducting Utilization Review (UR) for Medicaid Fee-For-Service (FFS) programs and assessment functions for certain home health, long-term care, and Home and Community-Based waiver services, including Nursing Facilities, the Personal Care Option (PCO) and Mi Via programs.

Click here for the Provider TPA page.

Provider Self Services

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Molina’s Provider Self Services has a variety of tools to simplify your transactions whether you need to check eligibility or check claim status.

For more information contact Provider Services.

New! United States Department of Health and Human Services Office of Inspector General (OIG)

The OIG has issued guidance to providers on how to avoid health care fraud and abuse. Click here to review the recommended OIG guidance.

New! Providers/Clinics/Hospitals are invited to keep our New Mexico children healthy. Participate in the Got Shots, Protect Tots Back to School Immunization Clinics. Click here for registration information!” .

New! Envision NM and Project ECHO announce Telehealth Programs to enable Practitioner’s to treat patients with chronic and complex diseases.

First Steps in Taking Care of Your Diabetes

Simple Steps to Manage Diabetes