How to Contact Provider Services at Molina Healthcare of New Mexico
The Provider Services Department has dedicated Provider Service Representatives (PSRs) to assist your office. PSRs are available to offer training, conduct visits to provider offices, help with Provider Portal registration, answer questions and serve as the point of contact for all provider needs.
The below link to the PSR Territory Map reflects the specialty area (Behavioral Health, Long Term Care Support Services and Physical Health), the PSRs and Supervisors responsible for each of these areas and their contact information. Please contact them for any assistance that your office requires. Molina Healthcare Provider Services
How to Join the Molina Provider Network: Access required documents in Frequently Used Forms to facilitate a new contract with Molina Healthcare.
Rendering, Ordering, Attending and Referring Provider Information Required for Molina Healthcare Centennial Care Claims
As a reminder, in accordance with the requirements found in the New Mexico Human Services Department (HSD) Supplements 17-07,17-08 and 17-09 released on Sept. 11, 2017, the appropriate rendering, ordering, attending and referring provider must be billed on claim submissions. Effective for claims with dates of service May 1st , 2018, and after, providers must include the appropriate information regarding the rendering, ordering, attending and referring providers on all claim submissions. If this detailed information is not included in the claim submission, Molina Healthcare will deny Centennial Care claims for dates of service on or after May 1st , 2018. Please refer to the HSD Supplements for the situations which are exempt from this requirement.
For more information about including the appropriate rendering, ordering, attending and/or referring provider information on Molina Healthcare Centennial Care Claims, please refer to the HSD Supplements above or contact your provider network representative at (505) 341-7493 or toll free at 1-855-322-4078.
Health Information Exchange
Molina Health Care of New Mexico, Inc. is pleased to participate with the New Mexico Health Information Collaborative (NMHIC), a secure electronic health care information system that allows participating providers to access patient health care information in real time. The Health Information Exchange (HIE) network is designated through the state to connect unrelated heath care systems and providers to be able to access patient records electronically, securely and privately with the patient’s consent. Providers can access the most up-to-date lab results, medical history and test information to be more prepared when working closely with the patient in making health care decisions.
HIE increases patient safety by having timely access to medication lists, emergency department visits, radiology and laboratory results, as well as facility admission and discharge details to have a more concise and comprehensive patient medical record. Patient health information is shared following federal guidelines in accordance with the Health Insurance Portability and Accountability Act (HIPAA). For more information, visit the New Mexico Health Information Collaborative website at www.nmhic.org
School-based health centers in New Mexico
The New Mexico Alliance for School-Based Health Care represents school-based health centers in New Mexico and collaborates with other partners to promote, facilitate, and advocate for comprehensive, culturally competent health care, including health education, in schools. Click here to learn more about the exciting happenings at School-Based Health Care Centers across the State.
Hepatitis C Virus Screening and Treatment Survey
Thank you for taking 5 minutes to participate in the Hepatitis C Virus Screening and Treatment Survey.
The New Mexico Human Services Department and the four Medicaid managed care organizations have partnered to conduct this short survey of health care providers on HCV education, screening and treatment.
We truly value your input. By participating in this survey, you make your voice heard and are helping New Mexico reduce morbidity and mortality from hepatitis C.
Your responses will help identify gaps and opportunities in HCV education, screening and linkage to care. It will also help us understand the barriers to HCV screening and treatment.
All responses are confidential. The compiled results of the survey will be detailed in a future newsletter.
Thanks again for participating.