Provider Forms and Other Resources

Keeping Providers In(form)ed

This is where you’ll find all the provider forms, tools and resources you need to connect care to coverage. We know healthcare doesn’t need more busywork or paperwork. So, we’ve worked hard to simplify and streamline these forms and resources to be both user-friendly and truly useful. (All forms are downloadable PDFs that you can fill out on your computer.)

Electronic Pharmacy Prior Authorizations: Fast, Free, and Easy

True Health New Mexico offers an electronic prior authorization (PA) option for providers who submit pharmacy PAs. Electronic PAs can reduce the amount of paperwork you have to do, can cut down on phone calls, and may provide you with faster responses. You also can track the status of your electronic PAs.

We have partnered with Surescripts for electronic pharmacy PAs. Download these guides and learn more at https://providerportal.surescripts.net/ProviderPortal/login

Site of Care Program

True Health New Mexico members who receive certain infused medications are required to use the site-of-care partner, OptumRx® Infusion Services.

Site-of-Care program fact sheet

HealthXNet®: An Eligibility Inquiry Tool for Providers

True Health New Mexico is pleased to partner with HealthXnet to allow our contracted providers to verify members’ eligibility and benefits efficiently and accurately.

Learn more about HealthXnet, start a free 30-day trial, sign up, and log in

Cultural Diversity Resources
Health Care Cost Comparison Tool
New Mexico Healthcare Compare displays the average cost to Medicaid of nine healthcare procedures at different facilities across the state. Facility quality measures such as patient recommendations and hospital safety measures are also available.