PROVISIONAL PROVIDER PARTICIPATION AGREEMENTNew Mexico • May 6th, 2020
Jurisdiction FiledMay 6th, 2020This AGREEMENT, between the State of New Mexico (STATE), herein referred to as “the STATE,” the New Mexico Human Services Department (HSD), herein referred to as “the DEPARTMENT” and the applicant as provider, herein referred to as “the PROVIDER”, specifies the terms and conditions for providing health care services to eligible recipients of Medicaid, other medical assistance programs, and other health care programs administered by the Department and other departments of the State of New Mexico for which the Department is authorized to make payment to the PROVIDER. Administration of health care programs including, but not limited to, service authorizations, billing instructions and payment, may be performed by the DEPARTMENT and its agents including other departments and agencies of the State of New Mexico and their contractors, as authorized by joint power of agreements, contracts, or other binding agreements, herein referred to as its “AUTHORIZED AGENTS”. This AGREEMENT shall be effe
PROVIDER PARTICIPATION AGREEMENTNew Mexico • April 21st, 2015
Jurisdiction FiledApril 21st, 2015This AGREEMENT, between the State of New Mexico (STATE), herein referred to as “the STATE,” the New Mexico Human Services Department (HSD), herein referred to as “the DEPARTMENT” and the applicant as provider, herein referred to as “the PROVIDER”, specifies the terms and conditions for providing health care services to eligible recipients of Medicaid, other medical assistance programs, and other health care programs administered by the Department and other departments of the State of New Mexico for which the Department is authorized to make payment to the PROVIDER. Administration of health care programs including, but not limited to, service authorizations, billing instructions and payment, may be performed by the DEPARTMENT and its agents including other departments and agencies of the State of New Mexico and their contractors, as authorized by joint power of agreements, contracts, or other binding agreements, herein referred to as its “AUTHORIZED AGENTS”. This AGREEMENT shall be effe