PROVIDERS

Say Hello to the Turquoise Claims System

Turquoise Claims launches on March 23, 2026! Sign up for Training Today!

To help you prepare, we’re offering both live, instructor-led training sessions and self-paced, computer-based training. For more information and sign-up instructions, click here: Turquoise Claims Launches March 23 – Sign Up for Training Today!

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 on March 23, 2026.

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.

Preview the Turquoise Claims System in a Live Demo

Catch a sneak peek of Turquoise Claims! From February 23 to March 14, we will host 2-hour, in-person preview events in 7 cities for providers and billers who submit fee-for-service Medicaid claims directly to the State. These sessions are not a full training – they’re a chance to preview the new system. At each event, you’ll be able to:

• See a live demonstration of the Turquoise Claims system,

• Learn how to submit a claim, and

• Ask questions and talk to our team.

View the full Turquoise Claims Live Demos schedule: Turquoise Claims Live Demos Schedule

RSVP for a Live Demo Today!: Turquoise Claims Live Demos RSVP

Attending the Virtual Live Demo on Tuesday, Feb 24 from 5-7 p.m.? Click here for the meeting link:

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

Accessing the Learning Management System (LMS) PDF

YesNM Account Creation Instructions PDF

Turquoise Claims MCO Initial Communication PDF

Prior Communications You May Have Missed 

Turquoise Claims Launches March 23 – Sign Up for Training Today!

Turquoise Claims – RSVP for a Live Demo Today!

What to Expect as We Transition to Turquoise Claims