MedicaidPrior AuthHigh impact
Supplement Special COVID – 19 Supplement #3: Guidance for New Mexico Medicaid Providers
New Mexico Medicaid·NM·Medical Policy
Effective date
Mar 1, 2020
We identified it
Jun 21, 2026
Summary
New Mexico Medicaid has issued COVID-19 emergency guidance waiving prior authorizations for testing/treatment, extending all existing prior auths through emergency termination, and adding new telehealth billing codes and modifiers. Drive-through testing is encouraged and face-to-face requirements for DME are waived.
Action Required
Immediately: Update billing system to reflect waived prior authorizations for all COVID-19 testing and treatment services. Add telehealth billing codes and modifiers from Table 1 (referenced but not shown in excerpt). Use Location Code 02 for behavioral health telephonic visits. Document telehealth services appropriately and note 'Excused per state declaration re: COVID-19' for missing in-person measurements. Contact Conduent Provider Relations Help Desk if approved services are denied for prior auth.