What is Medicaid
Medicaid is a US federal government health insurance program that was established under the aegis of the social security provisions of the US federal government. It aims at providing healthcare services and reimburses medical expenses to the low income group people and underprivileged sections of the society. The scheme is funded jointly by the federal and the respective state governments. It’s primarily meant for pregnant women, children and young adults.
How to Enroll as a New Mexico Medicaid Program Provider?
The New Mexico Medicaid program enrolls private healthcare services providers to ensure quality healthcare services to the citizens of the state. The enrollment process comprises credentialing, endorsement, licensure verification and other formalities.
Following are the salient points for Medicaid service provider enrolment.
Applicants have to meet all the program qualifications and requirements for which they intend to enroll before they become bona fide Medicaid healthcare service providers. Specific qualifications regarding each service provider are laid down in the requirement checklist for service provider qualification.
Intending service providers can enroll by using an online service provider enrollment form. This can be downloaded directly from the internet in .doc or .pdf format.
Once an insurance service provider is gets approval from the Medicaid authorities, it is assigned a unique Medicaid healthcare provider number and the date of commencement is notified via email. The provider can begin submitting claims to the Medicaid authorities when the unique number has been received.
A New Mexico Medicaid service provider isn’t guaranteed any retroactive effective date and is strongly discouraged to provide the services until the have received the number. The New Mexico Medicaid authorities can consider requests for retroactive services. This is entirely at the discretion of the authorities.
The criteria for enrolment are often amended from time to time and intending applicants are advised to keep track of them.