MedicaidBilling CodesMedium impact
Supplement 25-13: Birthing Options Program Billing and Reimbursement
New Mexico Medicaid·NM · OB-GYN·Claims & Billing
Effective date
Jan 1, 2026
We identified it
Jun 21, 2026
Summary
New Mexico Medicaid has updated billing procedures for the Birthing Options Program, establishing a split billing model for licensed birth centers and standardizing reimbursement for midwife services. Birth centers will bill facility charges using UB/837I format with specific revenue codes, while professional services continue using CMS 1500/837P format.
Action Required
By January 1, 2026: Billing teams for licensed birth centers and midwife providers in New Mexico must implement split billing model - update billing software to use UB/837I format with revenue codes 0724/0729 for facility charges and CMS 1500/837P for professional services. Ensure MAD 318 Confirmation/Release Statement is attached to all claims. Update encounter forms with new procedure codes and billing requirements for home births vs. birth center deliveries.