← Back to list
Supplement 26-06: State of New Mexico Handicapping Labio-lingual Deviation (NM HLD) Index Report Form – MAD 908
Act
by Oct 1, 2026
Effective date
Oct 1, 2026
Identified
Sep 12, 2026
Summary
New Mexico Medicaid requires providers to submit prior authorization requests for comprehensive orthodontic treatment using the standardized MAD 908 form (HLD Index Report Form) beginning October 1, 2026. Requests submitted without this form will be rejected and must be resubmitted, potentially resulting in claim denials.
Get alerts when payers change rules like this one
We check New Mexico Medicaid and other payers every day and email you when a change matches your specialty and state.
Get New Mexico Medicaid alertsPolicy Monitoring is free. No card required.
What to do
by Oct 1, 2026 · 7 steps
01Billing team must implement the following changes.
02Update billing software and prior authorization workflows to require the MAD 908 form for all comprehensive orthodontic treatment requests for New Mexico Medicaid recipients under 21 years old.
03Obtain and implement the MAD 908 form template from the Comagine Health website (https://comagine.org/program/new-mexico-medicaid/providers).
04Train all staff submitting prior authorizations to use ONLY the MAD 908 form when submitting to Comagine Health (the TPA for FFS recipients).
05Update provider templates and checklists to reference the MAD 908 requirement.
06For MCO-enrolled recipients, coordinate with the specific MCO regarding their submission process.
07For technical assistance, contact Comagine Health at 1-866-962-2180 or madinfo.hca@hca.nm.gov.
If missed: Failure to submit prior authorizations using the MAD 908 form will result in request rejection and claim denials.
Original notice
Supplement 26-06: State of New Mexico Handicapping Labio-lingual Deviation (NM HLD) Index Report Form – MAD 908
hca.nm.gov · Always check the source before changing claims.