Summary
The New Mexico Medicaid Managed Care program becomes Turquoise Care on July 1, replacing the Centennial Care name. Presbyterian Medicaid members who stayed with Presbyterian were automatically enrolled, keep their member ID numbers, and receive new ID cards, with the same benefits continuing and some new covered services, like chiropractic, added. Presbyterian and the other MCOs are required to share authorizations and other information for Centennial Care members who enrolled in a different MCO for Turquoise Care.
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What to do
Action · 7 steps
01Already effective July 1, 2024: Members who stayed with Presbyterian keep their existing member ID numbers and receive new ID cards in the mail.
02For remote physiologic monitoring, CPT 99453 covers set-up and patient education on equipment, CPT 99454 covers device supplies with daily recordings or programmed alerts transmission during a 30-day period, and CPT 99091 should be reported no more than once in a 30-day period and requires a minimum of 30 minutes each 30 days.
03If 99091 services are provided on the same day as an E/M service to the same provider, they should be considered part of the E/M service and not reported separately.
04The first-quarter (July 1 to Sept.
0530, 2024) and second-quarter (Oct.
061 to Dec.
0731, 2024) Turquoise Care practice requirements are historical, so check current applicability before acting on them.
Codes mentioned
994539945499091
Original notice
2024 July Network Connection
onbaseext.phs.org · Always check the source before changing claims.