New Mexico Notice of Change of Health Care Provider is a document filed with the New Mexico Human Services Department to change the health care provider for a recipient of Medicaid or other subsidized health insurance. The document is used to inform the department of any changes that affect the recipient's health care, such as a new provider, a change in the provider's location, a change in the provider's services, or a change in the recipient's eligibility for coverage. There are two types of New Mexico Notice of Change of Health Care Provider: New Mexico Change of Provider form, and New Mexico Change of Provider and Location form. The New Mexico Change of Provider form is used when the provider changes, but the location remains the same. The New Mexico Change of Provider and Location form is used when both the provider and the location changes.
New Mexico Notice of Change of Health Care Provider
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How to fill out New Mexico Notice Of Change Of Health Care Provider?
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