Using the NEW MEXICO Medicaid Fee Schedule. 1. 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. Benefits available to Medicaid clients may vary depending on the Category of ...

Jul 1, 2024 · On June 28, 2023, the New Mexico Human Services Department (HSD), now the Health Care Authority (HCA), announced its intention to update the Behavioral Health Fee Schedule to reflect new program implementations and provider rate …

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.

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.

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.

Jul 1, 2023 · 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.

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

Nov 6, 2024 · New Mexico Medicaid fee schedules with updated rates and codes for physical therapy, occupational therapy, and speech therapy services for adults and children

Jan 1, 2023 · The uniform increase established by the state for inpatient hospital services provided to Medicaid enrollees under the age of 21 at qualifying hospitals for the rating period covering January 1, 2023 through December 31, 2023, incorporated into the capitation rates through a separate payment term of up to $34.5 million.

Jan 1, 2024 · submit a preprint for prior approval to adopt minimum fee schedules using State plan approved rates as defined in 42 C.F.R. § 438.6(a).] If checked, please answer all questions in Subsection IIB.