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MedicaidCoverageMedium impact

Supplement 25-09: Food is Medicine Benefit for Pregnant Recipients with Diabetes

New Mexico Medicaid·NM · OB-GYN, Endocrinology, Family Medicine·Specialty Services
Effective date
Jul 1, 2025
We identified it
Jun 21, 2026
Days to comply

Summary

New Mexico Medicaid now covers Food is Medicine benefits for pregnant recipients with diabetes, including medically-tailored meals and grocery boxes. Providers must enroll as Type 346 and bill using HCPCS code S5170 on CMS 1500 forms with diabetes and pregnancy diagnosis codes.

Action Required

Action needed
For New Mexico providers serving pregnant Medicaid patients with diabetes: Enroll as Provider Type 346 (Lodging, Meals) if offering food services. Update billing system to use HCPCS S5170 for medically-tailored meals/grocery boxes on CMS 1500 forms. Ensure diabetes diagnosis codes are in first 5 positions along with pregnancy codes. Set taxonomy code 174200000X. Establish referral process and require RDN meal plans. Document SNAP/WIC status before billing.

Affected Billing Codes

S5170