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We ensure that New Mexicans attain their highest level of health by providing whole-person, cost-effective, accessible, and high-quality health care and safety-net services.
Managed Care Letters of Direction
Turquoise Care Letters of Direction
LOD #1 Transition of Payment from Medicaid to Medicare for OTP Services
LOD #5-1 Supervisory Certification Removal R&R LOD #5
LOD #6 Billing for Specialized Behavioral Health Services by FQHCs
LOD #7 MCO Systems Configurations for BH Claims from FQHC Satellite Location
LOD #9 Medication Assisted Treatment (MAT) Medications; Narcan and Naloxone
LOD #12 Delivery of Necessary Diabetic Resources
LOD #13 MCOR Guidance Amendment
LOD #14 Human Donor Milk Billing and Guidance in Outpatient Setting
LOD #15 Medicaid Home Visiting Billing Codes
LOD #16 Silver Diamine Fluoride Provided by Dental Providers
LOD #17 Silver Diamine Fluoride Provided by Physician or Other Qualified Healthcare Professional
LOD #19 Revised Medical Necessity Criteria for Orthodontic Treatment
LOD #21 Comprehensive Well Child Checkups for Children in State Custody (CISC) Within 30 Days
LOD #22 Coverage of Gender Affirming Healthcare Medications and Procedures
LOD #23 Comprehensive Addiction Recovery Act (CARA) Program Plan of Safe Care
LOD #24 MCO Required Coverage of Over-The-Counter Reproductive Health Services
LOD #25 HHS OIG PCS Audit Remediation
LOD #26 EOB Exception for BH Services and BH Provider
LOD #27 Transcranial Magnetic Stimulation (TMS) Services
LOD #30-1 CCBHC Demonstration Implementation Repeal and Replace LOD #30
LOD #32 Prenatal Genetic Screening
LOD #33 Updated Coverage for Prosthetic and Custom Orthotic Devices
LOD #34-2 Calendar Year (CY) 2026 UNM Medical Group and UNM Hospital Professional Group Directed Payment RR LOD #34-1
LOD #36-3 State Fiscal Year 2025 Payment Rate Increase RR LOD #36-2
LOD #37 Lactation Care Provider Services
LOD #38-1 CHW & CHR Benefit RR LOD #38
LOD #41 SBHC LARC Inventory Project
LOD #43-1 Calendar Year (CY) 2025 UNM Hospital Directed Payment R&R LOD #43
LOD #44-2 Post PHE Telehealth Allowance RR LOD #44-1
LOD #45 CAHPS 5.1H Revised State Supplemental Questions
LOD #46 Qualified Clinical Trials
LOD #48-1 CCL Revisions RR LOD 48
LOD #50 Pharmaceutical Service Reimbursement
LOD #52 Place of Service (27) Outreach Site Street
LOD #53 Applied Behavioral Analysis (ABA) Fee Schedule Rates
LOD #54 Behavioral Health (BH) Fee Schedule Rates
LOD 55-1 Birthing Options Program Billing Reimbursement RR LOD #55
LOD #56 Medical Respite for Homelessness
LOD #57 Community Benefit Medically Tailored Home Delivered Meals
LOD #59 CB Recommended Provider Rates
LOD #62 Food Is Medicine Benefit for Pregnant Members with Diabetes
Inactive-LOD #64 Tribal 638 Nursing Facilities
LOD #67 Closed Loop Referral System
LOD #68 Billing Guidance for Comprehensive Community Supportive Services (CCSS)
LOD #69 Traditional Healing Reimbursement
LOD #70 CY25 Jan-June 20 Smallest Rural Hospitals Rate Increase
LOD #72 NM High-Fidelity Wraparound Program
LOD #73 Permanent Supportive Housing & Tenancy Support Services
Centennial Care Letters of Direction
LOD #1-1 Repeal and Replace CHV Program Implementation, Statewide
LOD #2 – Community Intervener I and II
LOD #40-1 – Medication Assisted Treatment (MAT) Medications; Narcan and Naloxone
LOD #41 – MCO Program Integrity Requirements
LOD #42 – Transition of Payment from Medicaid to Medicare for OTP Services
LOD #44 – ABA Payment Rates Increases Effective October 1, 2019
LOD #50 – Naturopathic Doctors: Participation in the NM Medicaid Program
LOD #51 – New 1915 (c) Home and Community-Based Services Program – Supports Waiver
LOD #52 – MCO Systems Configurations for BH Claims from FQHC Satellite Locations
LOD #60 – NDC Requirement for Drug Rebate Collection and 340B Claim Billing
LOD #67 – EOB Exception for Behavioral Health Services and Providers
LOD #70-2 – I.H.S. & Tribal 638 Outpatient Pharmacy Annual Reimbursement Rate Changes
LOD #78-1 – Pharmaceutical Service Reimbursement Parity
LOD #79-1 10% and 5% Temporary Economic Recovery Payments for HCBS Services
LOD #80 – SBHC LARC Inventory Pilot Project
LOD #86-1 – Out of-state Treatment Foster Care Repeal and Replace #86
LOD #88 – Billing for Specialized BH Services by FQHCs
LOD #91 – Supervisory Certification and Rostering
LOD # 96-1- Comprehensive Well Child Checkups for Children in State Custody (CISC) Within 30 Days
LOD #97 – Human Donor Milk Billing and Guidance in an Inpatient Hospital
LOD #98 – Expiration of the PHE
LOD #99-1 – NM High-Fidelity Wraparound Program
LOD #101 Prenatal Genetic Screening
LOD #102 NEMT Referrals for Outside of the Home Community Guidance
LOD #104 Public Health Order Issued 09/15/2023
LOD #105 Care Coordination for Comprehensive Addiction and Recovery Act (CARA) Infants
LOD #108 Legally Responsible Individuals as Caregivers
LOD #109 Program Integrity Requirements
LOD #110 Non-Emergency Transportation Network Companies
LOD #112 Transcranial Magnetic Stimulation (TMS) Services
LOD # 113-1 Behavioral Health Evidence-based Practices
LOD #114 EVV Stipend for EPSDT PCS and HH
LOD #115 Updated Coverage for Prosthetic and Custom Orthotic Devices
LOD #116 Mobile Crisis Intervention and Mobile Response and Stabilization Services
LOD #117 Rate Corrections for IOP Services
LOD #119 Repeal of HCV Checklist and Elimination of Prior Authorization
LOD #120 State Fiscal Year 2024 Behavior Health Fee Schedule
LOD #121 Community Health Workers (CHW) and Community Health Representatives (CHR) Benefit
LOD #122 MCO Required Coverage of OTC Reproductive Health Services
LOD #123 Rate Increase for Residential Treatment Centers (RTC’s) for Youth
LOD #124 State Fiscal Year 2024 Applied Behavioral Analysis (ABA) Fee Schedule
LOD #125 Delivery of Necessary Diabetic Resources
LOD #128 Pediatric DRG & ICU Hospital Impatient Payment Rate Increases
LOD #129 EPSDT Directed Payment- Miscellaneous Codes