ATTENTION MOLINA HEALTHCARE PROVIDERS!

NEW CLAIMS MAILING ADDRESS

Effective October 1, 2005, the Molina Healthcare of New Mexico (MHNM) mailing address will change. Please submit all Molina Healthcare of New Mexico Salud claims to the following address:

Molina Healthcare of New Mexico
PO Box 22801
Long Beach, CA 90801

If you would prefer to overnight claims:

Molina Healthcare of New Mexico
One Golden Shore
Long Beach, CA 90802

Note: The mailing address will remain the same for all other correspondence (i.e. claim reconsiderations and appeals, notification of address, telephone, contract status, tax identification, name, affiliation, and open/closed panel status, etc.).

Molina Healthcare of New Mexico
PO Box 3887
Albuquerque, NM 87190

Provider Manual
If you have not yet received your copy of the 2005 Provider Manual (available on CD and hard copy), please contact the Provider Services Department.

SCI (State Coverage Insurance)

Effective July 1, 2005, Molina Healthcare of New Mexico (MHNM) began offering the State Coverage Insurance program (SCI). SCI is a Medicaid program that offers insurance to low-income working adults, ages 19 through 64.

MHNM will continue to administer behavioral health services for this program.

To assure our valued providers receive the tools necessary to provide services for MHNM SCI members, we have developed a separate Provider Manual, prior authorization matrix, and web page

Please contact your Provider Services Representative with any questions you may have regarding this product.

PRIOR AUTHORIZATION UPDATE - MHNM Salud:

Note: These changes are for MHNM Salud ONLY. The SCI product has a separate prior authorization matrix.

Effective September 1, 2005 - The prior authorization matrix was updated to reflect the following changes:

• In-plan podiatry office procedures no longer require prior authorization;
• Behavioral Health services (please refer to Value Options);
• Ambulance services has been taken off the matrix (please contact Integrated Transportation Management (ITM);
• Sterilization procedures no longer require prior authorization however, consent forms must be submitted with claims;
• OB ultrasounds require prior authorization.

The updated prior authorization matrix was mailed to all contracted practitioners/providers on July 22, 2005.

REMINDERS
BEHAVIORAL HEALTH:
MHNM SALUD: Effective July 1, 2005 - Contact Value Options of New Mexico toll free at 1-888-251-7511.

MHNM SCI: Effective July 1, 2005 - Contact Molina Healthcare of New Mexico in Albuquerque at 1-505-348-1578 or toll free at 1-866-403-3018.

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