Avoid Claim Denials: Effective July 1, 2026, all ordering, rendering and prescribing providers must be individually enrolled with New Mexico Medicaid.Learn more
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      Turquoise Claims Is Here

      Providers must make changes to Medicaid claims submission processes to avoid claim delays or denials.

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      Latest News

      • Turquoise Claims: Update Medicaid Claim Processes
      • Avoid Denials: Medicaid Enrollment Required July 1
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      Provider Education Conferences

      Join Presbyterian for quarterly trainings on current health plan updates and provider-related topics. Registration is required, and providers must attend one training annually.

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      Update Provider Directory

      The No Surprises Act requires that provider directory information be verified every 90 days. Provider directory profiles may be updated via your myPRES account.

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      Is Prior Authorization Required?

      You can check to see if behavioral or medical prior authorization is required.

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      Become a Presbyterian Health Plan Contracted Provider

      Join Presbyterian as a contracted Presbyterian Health Plan provider. We want to partner with you for efficient and effective healthcare. We are dedicated to superior service and quality care.

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      Apply to Treat Patients in our New Mexico Hospitals and Clinics

      Use our online application process to apply for privileges within our Presbyterian Delivery System of nine hospitals and many clinics throughout New Mexico.

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