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Provider News and Mailings

*Links below are in PDF format (icon)​

2018 Month
Provider News Bulletin - Regulatory Reminder – Centennial Care June 2018
Provider Website Notification Spring 2018 May 2018
Provider News Bulletin - Out of Network Lab Reminder January 2018
Provider News Bulletin - In Office Lab Update January 2018
Molina RFP Provider Communication January 2018
2017 Month
Provider News Bulletin - Timely Filing Update December 2017
Provider News Bulletin - Two Midnight Rule for Medicare Members November 2017
Provider News Bulletin - Claim Remit Update November 2017
Provider News Bulletin - DaVita Termination October 2017
Provider News Bulletin - Radiology Authorization Guidelines and Clear Coverage Update August 2017
Provider News Bulletin - Important Reminder- Use of In-Network Providers July 2017
Provider News Bulletin - Pharmacy Update July 2017
Provider News Bulletin - Medicare Inpatient Review UNM June 2017
Provider News Bulletin - Physical and Occupational Prior Authorization May 2017
Provider News Bulletin - Provider New Bulletin Spring 2017 May 2017
Provider News Bulletin - Peer to Peer Review Update May 2017
Provider News Bulletin - Transportation Providers Notice April 2017
Provider News Bulletin - New Claim Edits for Encounters April 2017
Provider News Bulletin - Pharmacy 90-Day Prescription Update March 2017
Provider News Bulletin - UM Contact Update March 2017
Provider News Bulletin - Electronic Claims March 2017
Provider News Bulletin - Mental Health Statistical Improvement Project March 2017
Provider News Bulletin - Important Notice - Transportation Vendor Change March 2017
Provider News Bulletin - Hepatitis C March 2017
Provider News Bulletin - BH Medical Records February 2017
Provider News Bulletin - PH Medical Records February 2017
2016 Month
Provider News Bulletin - Credentialing Process Update December 2016 December 2016
Provider News Bulletin - Behavioral Health Territories December 2016
Provider News Bulletin - NICU and Transplant Fax Number UPDATE October 2016
Provider News Bulletin - Provider Reconsideration Request (PRR) and Appeals - REMINDER September 2016
Provider News Bulletin - Behavioral Health Prior Authorization August 2016
Provider News Bulletin - Home Health Services - FOBT Tool Kits July 2016
Provider News Bulletin - Facility Coding and Billing July 2016
Provider News Bulletin - Clinical Criteria July 2016
Provider News Bulletin - Provider Reconsideration Request (PRR) and Appeals Update July 2016
Provider News Bulletin - Revised Inpatient Process Notice June 2016
Provider News Bulletin - Spring Newsletter May 2016
Provider News Bulletin - Opioid Prescribing Guidelines April 2016
Provider News Bulletin - Home Medical Equipment (HME) Specialists-Preferred Provider April 2016
Provider News Bulletin- Propeller Asthma Management Program April 2016
Provider News Bulletin - Vaccines for Children April 2016
Provider News Bulletin - Hepatitis C January 2016
Provider News Bulletin - DME(Durable Medical Equipment) Provider Network Change January 2016
2015 Month
Provider News Bulletin-Prior Authorization Update December 2015
Provider News Bulletin - Departure of Gloria Tucker December 2015
Provider News Bulletin - Fall Newsletter November 2015
Provider News Bulletin - Pregnancy Notification and Care Incentives November 2015
Provider News Bulletin - Nursing Facility Providers Retrospective Review October 2015
BH Provider Update - Amended Bulletin Modifiers October 2015
Provider News Bulletin - PCS Agency Transfers October 2015
Provider News Bulletin - After Hours Code Incentive Update September 2015
Provider News Bulletin - ICD-10 Compliance Update September 2015
Provider News Bulletin - Disclosure of Ownership and Control Interest Form September 2015
Provider News Bulletin - Provider Incentive Update Pregnancy Notification Diagnosis September 2015
Provider Bulletin - Formal Appeals June 2015
Provider News Bulletin - Office Manager Coding and Claim Tips - Corrected Claims June 2015
Provider News Bull​etin - Provider Hospital Appeal Documentation Reminder June 2015
Provider News Bulletin - Molina Healthcare Moves Downtown June 2015
Provider News Bulletin - Spring Newsletter May 2015
Provider Update - Providers Not Enrolled with NM Medicaid May 2015
Provider News Bulletin - Prior Authorization Process May 2015
Provider Update - LTSS Nursing Facility Level of Care Update May 2015
Provider Update - LTSS Nursing Facility Level of Care April 2015​
Provider News Bulletin - Departure of Donna Hughes March 2015​
Provider News Bulletin - Provider Portal Enchancements March 2015​
Provider News Bulletin - Provider Reconsideration Requests for Same Day Service Denials March 2015​
Provider News Bulletin - Coding Tips and Reminders March 2015​
Provider News Bulletin - Coding Tips and Reminders February 2015​
Provider Update - Quarterly Pharmacy Formulary Change Notice February 2015​
Provider News Update - Behavioral Health Same Day Services February 2015​
2014 Month
Provider News Bulletin - 2015 Prior Authorization Update December 2014​
Provider News Bulletin - Provider Satisfaction with Coordination of Care November 2014​
Provider News Bulletin - SBHC September 2014​
Provider News Bulletin - OPPS Update and E - M Codes September 2014​
Provider News Bulletin - Interpretation Process September 2014​
Provider News Bulletin - Prior Authorization Process September 2014​
Provider News Bulletin - BH Rate Increase August 2014​
Provider News Bulletin - Prior Authorization Update for Podiatry August 2014​
Provider News Bulletin - UPDATE: Outpatient Prospective Payment System August 2014​
Provider News Bulletin - Billing for Telemedicine Services August 2014​
Cost Sharing Update July 2014​
Provider Service Staff Update (a King) July 2014​
Provider Update - Enrollment Issues July 2014​
Provider News Bulletin - Website Notification June 2014​
Provider News Bulletin - Behavioral Health Coding and Edit News June 2014​
Provider News Bulletin - Behavioral Health Clinical Practice Guidelines June 2014​
New Mexico Health Information Collaborative June 2014​
Provider News Bulletin - Site of Service June 2014​
Provider News Bulletin - CMS 1500 Claim Form April 2014​
Provider News Bulletin - EDI EFT ERA March 2014​
Provider News Bulletin - Rural Health Clinic Billing Instructions March 2014​
Update - Hospital Admissions 2 - Midnight Rule​​ February 2014​​
Provider News Bulletin - Behavioral Health Billing Tips February 2014​
Provider News Bulletin - Pharmacy Update​ January 2014​
Hospital Readmissions January 2014​
Provider News Bulletin January 2014



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