Eligibility Inquiries - New
Beginning in March 2019, end dates for Medicaid enrollees will once again have a 12/31/9999 ongoing span when inquiring on eligibility.
- Individuals with existing coverage may now show an end date of 12/31/9999.
- Category of Eligibility spans will no longer show an end date of 2/28/2019.
If you have any questions related to this communication, please call New Mexico Medicaid at 1-800-299-7304.
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New Mexico Medicaid (FFS): Improved Provider Search functionality - Update
Conduent has implemented an improved provider search function for checking a Provider's status.
The provider search page will allow users to quickly access a provider's enrollment status using by using one of four search options required such as NPI, Organization Name, Provider Name, or Provider ID/Tracking Number. The Date of Service field (previously identified as the "Effective Date") is optional - this will allow users to verify the status of a provider on a specific date of service.
The improved provider search function allows providers to follow up on their submitted provider enrollment application via the web portal using the Tracking Number. Please note that the Tracking Number is eight (8) digits in length and can be located off of the Provider Enrollment Submission Confirmation page after a successful online submission.
The provider search function on the web portal can also be used to follow up on a MAD 335 or MAD 312 application that was submitted on paper; enter the NPI, Organization Name, or Provider Name to review the current enrollment status. Please note that you will not receive a tracking number if you have submitted a paper application.
The link below will take you directly to the provider search function on the NM Medicaid Web Portal.
https://nmmedicaid.portal.conduent.com/webportal/providerSearch
If you have any questions, please call the Provider Enrollment Helpdesk at 1-800-299-7304, option 6, followed by option 3.
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The New Mexico Web Portal extends the business capabilities of Medicaid program providers by offering user-friendly tools and resources electronically. Registered users may Log In to access the following interactive features of the portal:
- Claim Status Inquiry
- Prior Authorization Inquiry
- Eligibility Inquiry
- Payment History Inquiry
- Reports and Data Files
Currently enrolled providers can register for portal access using Web Registration. New providers seeking to join the program can download a Provider Enrollment Packet for step-by-step instructions.
The left navigation menu contains hyperlinks for the interactive features that you may access while logged in. Hyperlinks located in the top and bottom navigation menus allow you to access additional useful information.
For more information about the web portal or New Mexico Medicaid program, turn to the FAQ, New Mexico Medicaid E-News, or Search functionality.