New Mexico Medicaid: State enrollment is required for claim payment
AI Summary
Starting July 1, 2026, New Mexico Medicaid will deny all claims where attending, referring, ordering, and prescribing providers are not enrolled with the state Medicaid program. All providers and pharmacists must register at yes.nm.gov and include their NPI number, TIN, and use Payer ID 87748 on claims.
Action Required
Before July 1, 2026: All providers (attending, referring, ordering, prescribing) and pharmacists must enroll with New Mexico Medicaid by visiting yes.nm.gov and following HCA enrollment instructions. Billing team must update all New Mexico Medicaid claims to include NPI number, TIN, and Payer ID 87748 (use 87726 for electronic visit verification claims). Contact HCA Provider Enrollment at 800-299-7304 with questions. Claims will be denied without proper provider enrollment.
Plan Types
Medicaid
States
NM
Specialties
all-specialties