New Mexico Medicaid Portal



New Mexico Medicaid E-NewsNew Mexico Medicaid E-NewsSeptember 29, 2023Featured Updates and Notifications:HB2 Hospital Rate IncreasesFinal HB2 ICF Facility Rate UpdateFinal HB2 Nursing Facility Rate UpdateThird Quarter 2023 Existing HCPCS Annual UpdateFQHC House Bill 2 Rate Increase EDI Medicare Replacement Claim Billing Notice – UB ClaimsSecond Quarter 2023 HCPCS Annual Update2023 Conduent Webinar ScheduleMonthly IHS Open ForumNew Mexico Medicaid Provider Resource ListHB2 Hospital Rate IncreasesThe institutional rates for the following hospital types have been increased as of 9/15/2023. Claims submitted on or after 7/1/2023 will be mass adjusted.In-State Rural Hospitals 12%Urban Hospitals 6%Underserved Hospitals 20%UNM Hospitals 4%September 2023Final HB2 ICF Facility Rebase Rate UpdateThe HB2 rates for ICF Facilities (Medicaid Provider types 214 and 215) have been updated as of 9/7/23. Claims submitted on or after 9/1/2023 will be mass adjusted.September 2023 Final HB2 Nursing Facility Rate UpdateThe HB2 rates for Nursing Facilities (Medicaid Provider types 211 and 212) have been updated as of 9/11/2023. Claims submitted on or after 7/1/2023 will be mass adjusted.September 2023Third Quarter 2023 HCPCS Annual UpdateThe 3rd Quarter HCPCS Existing Code Annual update has been completed as of 9/11/2023. Claims submitted with the updated codes and with effective dates on or after 7/1/2023 will be adjusted.September 2023FQHC House Bill 2 Rate IncreaseThe institutional rates for FQHC (excluding tribal) providers were increased by 6% per House Bill 2, effective July 1, 2023. Claims submitted with effective dates on or after July 1, 2023 will be mass adjusted.August 2023EDI Medicare Replacement Claim Billing Notice – UB ClaimsFor providers who bill Medicaid UB-04 claims secondary to a Medicare Replacement payor through EDI and the claims deny for Medicare required, the following correction is needed:The indicator code in Loop 2320, Segment SBR09 (Other Subscriber Indicator field) should be 16 for Medicare Replacement plan claims. August 2023Second Quarter 2023 HCPCS Annual UpdateThe 2nd Quarter HCPCS New Code Annual update has been completed as of 7/19/2023. Claims submitted with the updated codes and with effective dates on or after 4/1/2023 will be adjusted.July 20232023 Conduent Webinar ScheduleTraining sessions are available at no cost to NM Medicaid providers.All times are Mountain time (MST or MDT) and sessions last up to one hour.Meetings use Microsoft TEAMS application. Join on your computer or by phone:Phone Conference Number (Audio only): 1 (585) 420-6781DateClass TitleTimeLinkPhone Conference ID10/19/2023Eligibility on the Web Portal Workshop? 10:00 AMClick here to join the meeting293 075 990#10/19/2023Adjustment, Void and Rebill Online Claims Entry2:00 PMClick here to join the meeting131 030 233#Monthly IHS Open ForumThe monthly IHS Open Forum is available for all IHS and Tribal 638 staff. The forum is on the second Wednesday of every month from 2:00 to 3:00 pm Mountain time. Microsoft TEAMS meeting - Click here to join the meeting Join by phone (audio) – 1-585-420-6781, conference ID 66481421#New Mexico Medicaid Provider Resource ListNew Mexico Medicaid Portal - Claim Inquiries, Eligibility verification, Electronic claim submission, Provider manuals, E-NewsMedical Assistance Division Program Rules - NMAC for programs administered by the Medical Assistance DivisionNM Human Services Department - Supplements, Memos, Provider Billing Packets and PolicyConsolidated Call Center – (800) 299 – 7304Provider Inquiries email: NMProviders@hsd.Member Inquiries email: NMMembers@hsd.HIPAA Inquiries link: HIPPAA.DeskNM@hsd. EDI or Portal Password ResetsDisclosure – The objective of the E-News, training, and webinars is to inform and educate. Articles reflect information at the current time and may contain references or links to statutes, regulations, or other policy materials. The information provided is only intended to be a general summary. It is not intended to take the place of either the written law or regulations. We encourage readers to review the specific statutes, regulations, and other interpretive materials for a full and accurate statement of their content. E-News is published monthly and is available on the NM Medicaid Web Portal. ................
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