PROVIDERS

Turquoise Claims Roadshow Postponed

We have decided to reschedule the upcoming Turquoise Claims Roadshow events to allow more time for final improvements and testing. We are working to make the necessary improvements and will communicate the new dates for the demos as soon as they are determined. For more information: Important – Turquoise Claims Roadshow Rescheduled

Say Hello to the Turquoise Claims System

The New Mexico Health Care Authority (HCA) and Medical Assistance Division (MAD) will be launching Turquoise Claims, a new Medicaid claims management system which will go-live in December.

Turquoise Claims will replace the current Medicaid claims management system (Omnicaid) and the NM Medicaid Provider Web Portal. You will find Turquoise Claims on the YES.NM.GOV website and log in just like you do today to access the Provider/PED Enrollment system.

YES.NM.GOV will be your one-stop shop for all your provider needs.

One Piece of a Larger Project to Update Medicaid Systems

Turquoise Claims is just one piece of a large project to update every aspect of the New Mexico Medicaid enterprise system. This module will streamline our ability to manage and oversee all claims processing, improve efficiency, and increase accuracy of billing and payments to comply with federal guidelines.

What’s New and What’s Not

While the way you submit claims won’t change very much, Turquoise Claims adds new features, including:

• Custom templates for routine services, managed by your organization, to match your billing needs.
• A user-friendly portal with user security levels for inquiries and claims submissions by employees within an organization.
• Real-time claim status inquiry and member eligibility inquiry to ensure easy access to the latest information.

We’ll continue posting additional information here about the new Turquoise Claims process for Fee-for-Service (FFS) and Managed Care Organization (MCO) providers, the transition timeline, training opportunities, and a coming roadshow. We’re committed to keeping you informed every step of the way.

Turquoise Claims Frequently Asked Questions PDF

Prior Communications You May Have Missed 

Important- Turquoise Claims Roadshow Rescheduled PDF

4 Months til Turquoise Claims- What Changes in December PDF (8/29/2025)

See the New Turquoise Claims System in a Live Demo Coming to a Location Near You! PDF 8/22/2025)

Turquoise Claims Training Coming in October PDF 7/28/2025

New Turquoise Claims System Coming in December PDF (7/18/2025)

Say Goodbye To Omnicaid and Hello To The New Turquoise Claims System PDF (6/30/2025)

New Medicaid Claims Management System in Development PDF (5/30/2025)