Provider Handbook

Introduction

True Health New Mexico is committed to providing the highest quality of care to its members, and driving improvements in quality more broadly in the community. The vision of True Health New Mexico is to bring a life-improving revolution in health to New Mexicans through partnerships with our members, providers, and communities.

True Health New Mexico is a for-profit, wholly owned subsidiary of Evolent Health, Inc. True Health New Mexico formed out of an expanded partnership between New Mexico Health Connections and Evolent Health in 2017. True Health New Mexico has assumed New Mexico Health Connections’ small-group and large-group lines of business, while New Mexico Health Connections will continue to focus on health coverage for individuals. True Health New Mexico became incorporated in late 2017, and its health plans became effective on January 1, 2018.

True Health New Mexico drives implementation of integrated care and payment models, producing improved health outcomes while “bending the cost curve,” if not actually lowering aggregate costs. True Health New Mexico understands the importance of building programs that will influence our members’ health behaviors, resulting in positive, sustainable health outcomes. In partnership with our members, provider network, and communities, we seek to ensure a clinically integrated approach to improving health care quality and access to care statewide.

This handbook is an important part of your Contractual Agreement with True Health New Mexico and is intended to provide True Health New Mexico network practitioners, their staff, and the larger health care delivery system the information, tools, and guidance needed to facilitate care and services for True Health New Mexico members.