The Health Care Authority’s mission is: 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.

Utilization Review

Announcement: New Third-Party Assessor Contractor Effective March 1, 2015

The Health Care Authority/Medical Assistance Division (HCA/MAD) has awarded the Medicaid Third-Party Assessor (TPA) contract to Qualis Health, effective March 1, 2015.  In order to facilitate the transition of TPA and utilization review (UR) services from Molina TPA to Qualis Health, HCA/MAD has established processing deadlines. Qualis can be reached at 1-866-962-2180 or

Qualis welcome letter

Pharmacy and Therapeutics

Pharmacy and Therapeutics

Drug Utilization Review (DUR) Newsletters

2017 Newsletters

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