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.
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.
Cultural Diversity Resources
- Association of American Medical Colleges (AAMC) Diversity and Inclusion Toolkit Resources
- A Physician’s Practical Guide to Culturally Competent Care: This e-learning program will equip health care providers with competencies that will enable them to better treat the increasingly diverse U.S. population.
- Best Practices for Working with a Medical Interpreter: If you’re not yet used to having a medical interpreter in the office with you, here’s how to get familiar with this situation so you and your patients can benefit from interpreting services right away.
- Definitions of Cultural and Linguistic Competency
- HRSA: Culture, Language, and Health Literacy: To improve individual health and build healthy communities, healthcare providers need to recognize and address the unique culture, language, and health literacy of diverse consumers and communities.
- LGBT Health Issues: An Overview of Disparities and the Need for Understanding: Research suggests that LGBT individuals face health disparities linked to societal stigma, discrimination, and denial of their civil and human rights. Discrimination against LGBT persons has been associated with high rates of psychiatric disorders, substance abuse, and suicide. Experiences of violence and victimization are frequent for LGBT individuals and have long-lasting effects on the individual and the community.
- National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Healthcare: CLAS is a way to improve the quality of services provided to all individuals, which will ultimately help reduce health disparities and achieve health equity. The National CLAS Standards are a set of 15 action steps intended to advance health equity, improve quality, and help eliminate health care disparities by providing a blueprint for individuals and healthcare organizations to implement culturally and linguistically appropriate services.