LOOKING FOR INFORMATION
Managed Care Letters of Direction
Turquoise Care Letters of Direction
LOD #1 Transition of Payment from Medicaid to Medicare for OTP Services
LOD #2 Rate Corrections for IOP Services
LOD #3 State Fiscal Year 2024 Behavioral Health Fee Schedule
LOD #4 NM High-Fidelity Wraparound Program
LOD #5 Supervisory Certification & Rostering
LOD #6 Billing for Specialized Behavioral Health Services by FQHCs
LOD #7 MCO Systems Configurations for BH Claims from FQHC Satellite Locations
LOD #8 Rate Increase for Residential Treatment Centers (RTC’s) for Youth
LOD #9 Medication Assisted Treatment (MAT) Medications; Narcan and Naloxone
LOD #10 Behavioral Health Evidence-based Practices
LOD #11 State Fiscal Year 2024 Applied Behavioral Analysis (ABA) Fee Schedule
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 #20 Mobile Crisis Intervention and Mobile Response and Stabilization Services
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
Centennial Care Letters of Direction
Inactive – LOD #1 – Guidance for CHV Program Implementation – Repealed and Replaced by LOD #1-1
LOD #1-1 Repeal and Replace CHV Program Implementation, Statewide
LOD #2 – Community Intervener I and II
Inactive – LOD #3 – Tracking Measure Reporting Requirements- Repealed and replaced by LOD #16
Inactive – LOD #4 – Nursing Facility Level of Care extensions- Sunset 6/30/2019
Inactive – LOD #7 – Directed Payment to UNM Medical Group- Repealed and replaced by LOD #9
Inactive – LOD #8 – Valle Del Sol Payment of Adult Psycho-Social Rehab Services-Sunset 6/30/2019
Inactive – LOD #9 – Directed Payment to UNM Medial Group- Repealed and Replaced by LOD #9-1
LOD #9-5 UNM Medical Group and UNM Hospital Professional Group Directed Payment
Inactive – LOD #10 – CY19 Telemedicine DSIPT- Repealed and replaced by LOD #11
LOD #12 – Medicaid Provider Payment Rates
Inactive – LOD #13 – Hospital Payment Rate Increase- Repealed and replaced by LOD #14
Inactive – LOD #14 – Hospital Payment Rate Increase- Repealed and replaced by LOD #20
Inactive – LOD #15 – Payment to Raton Nursing & Rehabilitation center- Sunset 11/30/2019
Inactive – LOD #16 – Tracking Measure Reporting Requirements- Repealed and replaced by LOD #22
Inactive – LOD #17 – SUPPORT Act Requirements- Sunset on inclusion in Contract Amendment #2
LOD #19 – Medicaid Provider Payment Rates
LOD #20 – Hospital Payment Rates Effective July 1, 2019 Repeal LOD #14
Inactive – LOD #22 – Tracking Measure Reporting Requirements- Repealed and replaced by LOD #33
Inactive-LOD #28-2 – Payment Rate Increases Effective January 1, 2020
LOD #28-4 – Payment Rate Increases Effective January 1, 2024
Inactive-LOD #29 – ABP Corrections- Sunset on inclusion in Contract Amendment #2
Inactive-LOD #30 – COVID-19 Guidance for CC 2.0 MCOs- Repealed and Replaced by LOD #31
Inactive-LOD #31 – COVID-19 Guidance for CC 2.0 MCOs- Repealed and Replaced by the “Special COVID-19 LODs” below
LOD #32 – Health Care Quality Surcharge (HCQS) created by Senate Bill 246 (SB246)
Inactive-LOD #33 – Tracking Measure Reporting Requirements Repeal and Replaced LOD #22
Inactive-LOD #35 – UNM Hospital Directed Payment -Repealed and Replaced by LOD #35-1
Inactive-LOD #35-1 -UNM Hospital Directed Payment-Repealed and Replaced by LOD #35-2
Inactive-LOD #35-2 -UNM Hospital Directed Payment-Repealed and Replaced by LOD #35-3
Inactive-LOD #35-3 – UNM Hospital Directed Payment
Inactive-LOD #35-4 – UNM Hospital Directed Payment-Repealed an Replaced by LOD #35-5
LOD #35-5 – UNM Hospital Directed Payment
Inactive-LOD #36 – Hospital Access Program (HAP) Directed Payment-Repealed and Replaced by LOD #36-1
Inactive-LOD #36-1-Hospital Access Program (HAP) Directed Payment-Repealed and Replaced by LOD #36-2
LOD #36-4 Hospital Value Based Program (HVBP) Directed Payment
LOD #37 – Nursing Facility Value Based Purchasing (NF VBP)
Inactive-LOD #39 – Care Link New Mexico Health Homes-Sunset on 12/31/2020
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
Inactive-LOD #45 – Adult Accredited Residential Treatment Centers-Repealed and Replaced by LOD #45-1
Inactive-LOD #46 – Medical Residency Pilot Program- Sunset
LOD #47 – HCQS Per Diem and MBI increase for SFY 2021
Inactive-LOD #49 – MCO Payment Recoupment from Providers-Sunset upon inclusion in the Systems Manual
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
Inactive – LOD #54 – BH DSIPT – Sunset upon inclusion in Contract Amendment 6
Inactive-LOD #55 – Provider Changes for Minimum Wage Adjustment-Repealed and Replaced by LOD #55-1
Inactive-LOD #56 – CareLink NM Health Homes -Sunset December 31,2021
Inactive – LOD #57 – Gross Receipts Tax (GRT) – Sunset upon inclusion in Contract Amendment 6
Inactive – LOD #58 – CY 20 Performance Measures – Sunset upon inclusion in Contract Amendment
Inactive – LOD #59 – Non-Clinical PIPs Revision – Sunset upon inclusion in Contract Amendment 8
LOD #60 – NDC Requirement for Drug Rebate Collection and 340B Claim Billing
Inactive – LOD #63 – Grievances Appeals Systems – Sunset upon inclusion in Contract Amendment 6
LOD #65 – HCQS Per Diem and MBI increase for SFY 2022
LOD #67 – EOB Exception for Behavioral Health Services and Providers
Inactive-LOD #68 – Trauma Hospitals Directed Payment-Repealed and Replaced by LOD #68-1
Inactive – LOD #68-1 – Trauma Hospital Directed Payment-Repeal and Replaced by #68-2
Inactive – LOD #68-2 – Trauma Hospital Directed Payment – Repealed and Replaced by LOD # 68-3
LOD #68-3 – Trauma Hospitals Directed Payment-Repealed and Replaced by LOD # 68-4
LOD #68-4 – Trauma Hospitals Directed Payment
Inactive – LOD #70 – I.H.S. & Tribal 638 Outpatient Pharmacy Reimbursement Change
LOD #70-2 – I.H.S. & Tribal 638 Outpatient Pharmacy Annual Reimbursement Rate Changes
Inactive-LOD #71 – Bernalillo Academy Reimbursement for Multiple Assessments-Sunset on 12/31/2021
Inactive-LOD #75 – Minimum Wage Adjustment
LOD #75-1 Minimum Wage Adjustments Repeal and Replace #75
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
Inactive-LOD# 83 – HCQS Per Diem and MBI increase for SFY 2023-Repealed and Replaced by LOD #83-1
LOD #83-1 Health Care Quality Surcharge (HCQS) SFY2024
Inactive – LOD #85 – Community Benefit Audits
Inactive-LOD #86 – Out of-state Treatment Foster Care-Repealed and Replaced by #86-1
LOD #86-1 – Out of-state Treatment Foster Care Repeal and Replace #86
LOD #88 – Billing for Specialized BH Services by FQHCs
Inactive – LOD #90 – New BH DSIPT – Sunset upon inclusion in Contract Amendment 8
LOD #91 – Supervisory Certification and Rostering
LOD #93 – Community Benefit Environmental Modifications and Community Transition Services
Inactive – LOD #94 MCO PHE Unwinding Outreach Report – Repealed and Replaced by LOD #94-1
Inactive – LOD #94-1 MCO Outreach Efforts
Inactive – LOD #95 MY2023 CAHPS Supplemental Questions – Sunset upon inclusion in Contract Amendment 8
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
Inactive – LOD #99 – NM High-Fidelity Wraparound Program
LOD #99-1 – NM High-Fidelity Wraparound Program
LOD #101 Prenatal Genetic Screening
LOD #102 NEMT Referrals for Outside of the Home Community Guidance
Inactive – LOD #103 State Fiscal Year 2024 Payment Rate Increases
LOD #103-1 State Fiscal Year Payment Rate Increases
LOD #104 Public Health Order Issued 09/15/2023
LOD #105 Care Coordination for Comprehensive Addiction and Recovery Act (CARA) Infants
Inactive – LOD #106 Operational Letter of Direction – Sunset upon inclusion in Contract Amendment 8
Inactive – LOD #107 BH standards for Crisis Now and 988, Certified Community Behavioral Health Centers (CBHCs), and Appointments – Sunset upon inclusion in Contract Amendment 8
LOD #108 Legally Responsible Individuals as Caregivers
LOD #109 Program Integrity Requirements
LOD #110 Non-Emergency Transportation Network Companies
LOD #111 Nursing Facility Short Term Stays
LOD #112 Transcranial Magnetic Stimulation (TMS) Services
Inactive – LOD #113 Behavioral Health Evidence-based Practices Repealed and Replaced by LOD # 113-1
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 #118 Tribal 638 Nursing Facilities (NFs)
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 #126 Miners Colfax Medical Center Payment
LOD # 127 Rural Hospital Obstetrics (OB) Inpatient and Outpatient Services Rate Increase