Ordering, Referring, Prescribing and Attending Providers Must Enroll as Medicaid Providers
Beginning July 1, 2026, claims for services rendered, ordered, or prescribed by providers who are not enrolled with Medicaid will be denied and the rendering provider’s claim will not be paid.
This requirement includes pharmacists, attending physicians, those practicing within group practices, hospital systems, facilities, behavioral health agencies, Indian Health Services, and other organizational providers.
By ensuring providers who refer Medicaid members are enrolled, Medicaid is able to verify credentials, maintain up-to-date provider information, and ensure that payments are made only for services delivered by qualified, enrolled practitioners.
What Providers Need to Do:
- Enroll as a Medicaid provider,
- Review your roster of all clinicians rendering Medicaid services,
- Confirm that each rendering provider is individually enrolled in Medicaid,
- Submit a provider enrollment application at govas soon as possible for any rendering, ordering or prescribing (including pharmacists) provider not currently enrolled. To create a YESNM.gov account follow these instructions.
Questions? Find more help in these Turquoise Claims Provider Enrollment guides:
- Turquoise Claims – Creating a New Account in YesNM for Providers PDF
- Turquoise Claims – How to Sign Up for Office Hours
- Turquoise Claims – Provider and PED Enrollment System Frequently Asked Questions (FAQs) PDF
- Turquoise Claims – Provider Training Schedule May-June 2026 PDF
Need More Help?
- See the ORP Frequently Asked Questions (PDF),revised 4/23/26
- Schedule provider office hours for individual help (see Guide #2 above)
- Contact the Provider Customer Service Center at 1-800-299-7304
