Third Party Assessor

Effective Friday February 27th at 5:01 PM, Molina Healthcare of New Mexico will no longer be the New Mexico Fee For Service/Third Party Assessor. Please call Qualis Health for assistance with Fee For Service or Third Party Assessor reviews at 1-866-962-2180.

-Supplement 15-02 Medicaid Utilization Review (UR) & Third Party Assessor (TPA) has been psoted to the HSD website and may be viewed at the following link:

http://www.hsd.state.nm.us/providers/Registers_and_Supplements.aspx

 

You may have to pay for services that are not covered. You may also have to pay for services from providers not part of our network. If the services were an emergency, you don’t have to pay. If you need help, call Member Services.