New Mexico Medicaid: Taxonomy and ZIP codes required on claims
AI Summary
Starting in March 2026, New Mexico Medicaid will reject all claims missing taxonomy codes and deny claims with incorrect taxonomy or ZIP codes. All claims must include the correct taxonomy code matching the provider's HCA registration and the ZIP code of the physical service location.
Action Required
Before March 1, 2026: Billing team must update claim submission process to include correct taxonomy codes for all New Mexico Medicaid claims. Verify taxonomy codes match provider HCA registration by checking the New Mexico Medicaid Portal. Ensure ZIP codes reflect actual service location, not billing address. Update billing software to require both fields before claim submission. Claims missing taxonomy codes will be rejected and claims with incorrect taxonomy/ZIP codes will be denied.
Plan Types
Medicaid
States
NM
Specialties
all-specialties