The Medicaid Fee Schedule is intended to be a helpful pricing guide for providers of services. It is not to be used as a guide to coverage of services by the Medicaid Program for any individual client or groups of clients.

2025年1月2日 · The new rate increases include behavioral health, primary care, and maternal/child health services, with many rising to 150% of the Medicare 2024 benchmarks. New Mexico’s Medicaid rates are already among the highest for some billing codes, but these increases demonstrate the state’s commitment to improving health care outcomes. In addition:

See the current fee schedule at https://www.hsd.state.nm.us/providers/fee-schedules/. This increase comes in the context of our ongoing effort to update rates and invest in New Mexico’s Medicaid providers. For historical comparison purposes, this 2019 KFF report illustrates how New Mexico physician rates

Find Fee-for-Service fee schedules and Medicaid services for Native Americans. For questions or concerns, please contact the Consolidated Customer Service Center at 1-800-299-7304.

The five-character codes included in the New Mexico Health Care Provider Fee Schedule& Billing Instructions are obtained from the 2023 Current Procedural Terminology (CPT), copyright 2022 by the AMA.

This fee schedule is for services provided to Medicaid fee-for-service recipients. Managed care provider rates are determined between the provider and the MCO and may differ from the fee-for-service fee schedule.

On June 28, 2023, the New Mexico Human Services Department (HSD) announcedits intention to update the Behavioral Health Fee Schedule to reflect new program implementations and provider rate increase effective July 1, 2023.

2023年7月1日 · Additionally, this fee schedule incorporates payment rate increases outlined in House Bill 2 (HB2). HSD believes these rate adjustments will help build and protect the New Mexico Medicaid health care delivery network. The proposed rate increases were supported, endorsed and funded by the New Mexico Legislature during the 2023 regular session.

New Mexico Medicaid fee schedules with updated rates and codes for physical therapy, occupational therapy, and speech therapy services for adults and children

Some procedure codes may be on other fee schedule tables. As explained in the HCPCS Disclaimer and Agreement, this table is not to be used as a guide to coverage of services by the Medicaid Program. For new equipment use modifier NU and for rentals use modifier RR.