Welcome New Mexico Medicaid Providers!
We want to share some important information regarding Molina Healthcare’s Centennial Care health plan and your contract with Molina to service Members.
Molina Healthcare of New Mexico, Inc. was not selected to provide Medicaid services beginning January 1, 2019.
Presbyterian Health Plan and Blue Cross Community Centennial will continue to be Managed Care Organizations (MCOs) and Western Sky Community Care will be a new MCO contracted with the State to provide services starting January 1, 2019.
While Molina Healthcare of New Mexico, Inc. was not selected to provide Medicaid services beginning January 1, 2019, Molina Healthcare will remain in New Mexico and will continue to participate in the Marketplace. We will provide service and support for this line of business to both our Members and Providers.
Molina Healthcare’s offices and contact numbers will continue to operate normally for Centennial Care business and our employees remain committed to serving you and our Members. We will also continue to meet the terms of our Centennial Care contract with the state of New Mexico, including working with provider partners on value-based agreements, cost-sharing opportunities and quality interventions.
Molina Healthcare will meet all regulatory requirements regarding notification to the State of New Mexico Human Services Department (HSD) of terminated providers for Centennial Care through regular communication as needed.
Molina Healthcare will also continue to provide support to you and answer questions you have relative to Centennial Care in a “business as usual” format through August 31, 2019.
After January 1, 2019, you will continue to be supported by Molina Healthcare for Claims with service dates on or before Dec. 31, 2018.
Claim Submission: Electronic Data Interchange (EDI) Payer ID: 09824
Contact Information during transition
Please submit all claim research and inquires to the following email boxes:
These boxes are checked throughout normal business hours and we will be able to address any issues in a timely manner as has been our standard practice.
What does this mean for Members?
We are proud to have served New Mexico’s Medicaid population for over 20 years and value your partnering with us to provide quality healthcare.