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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.)

Cultural Diversity Resources and Training for Providers

 

Provider training and continuing education on equity, cultural competency, bias, diversity, and inclusion

Electronic Pharmacy Prior Authorizations: Fast, Free, 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.

Health Care Cost Comparison Tool from NM DOH
New Mexico Healthcare Compare is a tool that 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.
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

Site-of-Care Program for Members Who Receive Certain Infused Medications

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

Site-of-Care program fact sheet