MedicaidReimbursementLow impact
Supplement 25-12: ICF/IID Annual UPL Supplemental Payment SPA 24-0009
New Mexico Medicaid·NM·Claims & Billing
Effective date
Oct 6, 2025
We identified it
Jun 21, 2026
Summary
New Mexico has implemented an annual Upper Payment Limit (UPL) supplemental payment program for ICF/IID facilities, with lump sum payments to be made by June 1st each year based on available UPL room. The 2025 payment was delayed pending CMS approval but future payments will follow the annual June 1st schedule.
Action Required
ICF/IID facilities only: Contact Medical Assistance Division Financial Management Bureau at madinfo.hca@hca.nm.gov if you have questions about UPL supplemental payments. No immediate billing changes required - payments are automatically calculated and distributed by the state.