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Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.

Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.

If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

We protect your documents and personal data by following strict security and privacy standards.
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A New Mexico Medicaid prior authorization form is a document used by medical professionals to request Medicaid coverage for a non-preferred drug. It's necessary to provide medical justification for not using a drug from the State-approved Preferred Drug List.
Note:Paper claims must be original claim forms; copies will not be accepted and will be returned.
Providers: Call Us. Customers: 1-800-283-4465. Providers: 1-800-299-7304. Email Us. Customers: NM.Customers@hsd.nm.gov. Providers: NM.Providers@hsd.nm.gov. Chat With Us.
If you are unsure if you or your organization are already enrolled in the New Mexico Medicaid program, please use the Provider Search tool to verify status. If you have any further questions or need assistance, please contact the Consolidated Customer Service Center (CCSC) at 1-800-299-7304.
If you continue to have problem accessing the chat icon call, Customers can call 1-800-283-4465 and Providers can call 1-800-299-7304. COVID19 Uninsured Group Coverage Is Ending on April 30, 2023. Click here for more information.
Centennial Care is the name of the New Mexico Medicaid program.
If you are unsure if you or your organization are already enrolled in the New Mexico Medicaid program, please use the Provider Search tool to verify status. If you have any further questions or need assistance, please contact the Consolidated Customer Service Center (CCSC) at 1-800-299-7304.
If you continue to have problem accessing the chat icon call, Customers can call 1-800-283-4465 and Providers can call 1-800-299-7304. COVID19 Uninsured Group Coverage Is Ending on April 30, 2023.