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Sitecore Site Collection
Inpatient Rehab
Requests for Inpatient rehabilitation hospital services require prior authorization. Rehabilitation requests are received on the MAD331 form in addition to preadmission assessment, history and physica...
/members/nm/mem/tpa/InpatientRehab.aspx
Sitecore Site Collection
HomeCommunity
Medicaid Home and Community-Based Services are provided under separate 1915 (c) waivers through the federal Centers for Medicare and Medicaid Services to allow state Medicaid agencies to cover home an...
/members/nm/mem/tpa/HomeCommunity.aspx
Sitecore Site Collection
Home Care
Home Health Services: Requests for Home Health care services require prior approval. Recipients must meet one or more criteria cited in (8.325.9 NMAC) Home Health services in order to receive this be...
/members/nm/mem/tpa/HomeCare.aspx
Sitecore Site Collection
Home Care
Home Health Services: Requests for Home Health care services require prior approval. Recipients must meet one or more criteria cited in (8.325.9 NMAC) Home Health services in order to receive this be...
/members/nm/mem/tpa/HomeCare.aspx
Sitecore Site Collection
EPSDT
EPSDT is a Medicaid benefit that provides comprehensive and preventive health care services for children under the age of 21 who are unable to perform some/all activities of daily living(ADL’s) or ind...
/members/nm/mem/tpa/EPSDT.aspx
Sitecore Site Collection
EPSDT
EPSDT is a Medicaid benefit that provides comprehensive and preventive health care services for children under the age of 21 who are unable to perform some/all activities of daily living(ADL’s) or ind...
/members/nm/mem/tpa/EPSDT.aspx
Sitecore Site Collection
Dental Services
Dental services are a covered benefit for New Mexico Medicaid recipients. Dental services include specific diagnostics, preventive, or corrective procedures to the teeth. The New Mexico Human Services...
/members/nm/mem/tpa/dentalsvc.aspx
Sitecore Site Collection
Dental Services
Dental services are a covered benefit for New Mexico Medicaid recipients. Dental services include specific diagnostics, preventive, or corrective procedures to the teeth. The New Mexico Human Services...
/members/nm/mem/tpa/dentalsvc.aspx
Sitecore Site Collection
Developmental Disabilities Waiver
Developmental Disability and Medically Fragile waiver recipients work with their Waiver case manager to develop the individual service plan (ISP) and budget. Molina Healthcare TPA is responsible for e...
/members/nm/mem/tpa/DDW.aspx
Sitecore Site Collection
Developmental Disabilities Waiver
Developmental Disability Waiver (DDW) recipients work with their DDW Case Manager (CM) to develop the Individual Service Plan (ISP) and budget. Molina Healthcare TPA is responsible for entering the bu...
/members/nm/mem/tpa/DDW.aspx
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