New Mexico Medicaid Portal



New Mexico Medicaid E-NewsNew Mexico Medicaid E-NewsAugust 29, 2023Featured Updates and Notifications:FQHC House Bill 2 Rate Increase EDI Medicare Replacement Claim Billing Notice – UB ClaimsSecond Quarter 2023 HCPCS Annual UpdateICF Facility Rate IncreaseNursing Facility Rate IncreaseNM Gross Receipts Tax Rates UpdatedMedicaid Provider Termination Suspensions EndCOVID-19 Procedure Codes Discontinued2023 Conduent Webinar ScheduleMonthly IHS Open ForumNew Mexico Medicaid Provider Resource ListFQHC 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 2023ICF Facility Rate Increase The rates for Intermediate Care Facilities – Individuals with Intellectual Disabilities (Medicaid provider types 214 and 215) were increased by $2.69 effective July 1, 2023. No adjustments are required.July 2023Nursing Facility Rate IncreaseThe rates for Nursing Facilities (Medicaid provider types 211 and 212) were increased by 5.4% effective July 1, 2023. No adjustments are required.July 2023NM Gross Receipts Tax Rates UpdatedThe revised NM Gross Receipts tax rates for July – December 2023 have been loaded. The Gross Receipts Tax Rate Schedule is available at . June 2023NM Medicaid Provider Termination Suspensions EndWith the close of the Public Health Emergency (PHE), the suspension of provider terminations has ended. The following providers are affected:Providers who have not completed the recertification process during the PHE (Turn-Around Documents)Providers with licenses or certifications that expired or were suspended during the PHEProviders who have not complied with site visits or fingerprint-based criminal background checks based on federal risk-based screening requirements during the PHEAll providers with past-due TAD/recertification and outstanding risk-based screenings due to the PHE must complete all required actions by October 27, 2023.Providers with expired licenses or certifications will be terminated if the correct license or certification documents are not submitted by August 22, 2023. For questions or concerns, please contact the Consolidated Customer Service Center at 1-800-299-7304.June 2023COVID-19 Procedure Codes DiscontinuedA total of 34 COVID-19 Vaccine and Administration procedure codes have been discontinued with an end date of 6/30/2023. A further 6 codes have been added with an effective start date of 4/18/2023. Claims submitted with these new codes on or after 4/18/2023 will be adjusted.June 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 ID9/21/2023UB-04 Online Claims Entry?10:00 AMClick here to join the meeting386 920 894#9/21/2023JUST HEALTH (Justice-Involved Utilization of State Transitioned Healthcare)2:00 PMClick here to join the meeting541 535 739#?????10/19/2023Eligibility 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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