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Please complete our opt-in form to register.Sign Up NowPast Issues and CommunicationsThis archive below hosts Presbyterian's provider network communications, organized by month of distribution. If you have any questions about a communication, or need to locate an older communication, please contact your Provider Network Management relationship executive.October 2018 Providers should enroll with the New Mexico Human Services Department Presbyterian Fax Number to Non-portal Critical Incident Report Reminder: Enroll in Presbyterian’s New Electronic Payment Platform URGENT: Enroll in the Presbyterian ePayment Center or Risk Payment Delays Presbyterian Extended the Enrollment Period for ePayments September 2018 United Healthcare Centennial Care Members Obstetrical Ultrasound Prior Authorization Requirement August 2018 Enroll in Presbyterian’s New Electronic Payment Platform Critical Incident Training Invite - All MCOs 2018 Providers Who Render Services to Eligible Dual Plus Members are Required to Complete Annual Training UnitedHealthcare Centennial Care Members Will Transition to Presbyterian Health Plan, Inc. July 2018 Presbyterian Will Apply Medical Care Credits to All Appropriate Category of Eligibility Evacuation Plan for Nursing and Assisted Living FacilitiesThe National Drug Code Is Required on All Medication ClaimsIntroducing a New Electronic Payment Platform Network Connection July 2018 June 2018 Presbyterian Updates its Fluoride Dental Varnish Project EVV Support Broker FAQ May 2018 Network Connection May 2018Pharmacy and Therapeutics (P&T) Committee Provider Update April 2018 CMS to Issue New ID Cards to Medicare MembersMarch 2018 EPSDT Private Duty Nursing Claim Form UpdateCARELink Health Homes - BernalilloCARELink Health Homes - DeBacaCARELink Health Homes - HidalgoCARELink Health Homes - LeaCARELink Health Homes - QuayCARELink Health Homes - RooseveltCARELink Health Homes - Kewa SandovalCARELink Health Homes - SandovalPharmacy and Therapeutics Committee Provider Update First Quarter 2018 Enhanced AuthentiCare SystemNetwork Connection March 2018 February 2018Requirements for Requesting a Nursing Facility Level of CareJanuary 2018 Network Connection January 2018 The Supplement for the Early Periodic Screening, Diagnostic and Treatment Program Was Updated 2018 Practitioner and Provider Manual Available on PHS.orgAttending, Ordering, Referring, Rendering and Prescribing Providers are Required to Enroll in New Mexico MedicaidNational Imaging Associates Inc. Updated Magellan Healthcare’s Clinical GuidelinesUse the V1 Demonstration Modifier for Wound Care ClaimsDecember 2017 Manual EVV Claim Entries Require Supporting Documentation Pharmacy and Therapeutics Committee Provider Update Fourth Quarter 2017 Important Information regarding Hospice Rates and Revenue Codes November 2017Network ConnectionOctober 2017 Updated Fax Numbers for Care Coordination HSD's Revised Card Policy September 2017 Network ConnectionImportant Information Regarding the Provider Care Unit Help Members Find Your Office with Real-Time Provider Directory Updates Important Information Regarding BioTE August 2017 Pharmacy and Therapeutics Committee Provider Update Third Quarter 2017 – Formulary Changes Effective 8.15.2017 2017 Practitioner and Provider Manuals are available on PHS.orgCentennial Care Providers Must be Enrolled with HSD July 2017 Network Connection June 2017 Pharmacy and Therapeutics (P&T) Committee Provider Update May 2017 Network Connection April 2017 Electronic Corrected ClaimsNew Fax Number for BH CI ReportingReal-time Provider Directory Updates–Demographic Information Request HSD Enrollment for Non-par Providers March 2017 Network ConnectionNew Roswell TriCore Reference LaboratoriesNew Transfer form for PCS Providers EVV Compliance Letter Changes in Centennial Care Fee schedule for 90847 with or without HK February 2017 Delegation Reporting Obligation NotificationNew Fax Numbers for Presbyterian Care CoordinationReminder: Medical Record ReimbursementIMPORTANT UPDATES: Coding, Claims, Reimbursement, BillingPresbyterian Member Survey InitiativeALERT: Risk of Claim Denial; Medicaid Registration Required for Both Group and Individual Centennial Care ProvidersImportant: Changes to Incontinence Products for Centennial Care MembersPharmacy and Therapeutics (P&T) Committee Provider Update January 2017 2017 Practitioner and Provider Manuals availableNetwork Connection December 2016 Continuity of Care for Pregnant Members with Individual Presbyterian Health Insurance Exchange PlansPharmacy & Therapeutic Committee Provider Update November 2016 Network ConnectionUpdates to Dual-Eligible Claims Processing October 2016 Medicare’s Multiple Procedure Payment Reduction PolicySchool-based Health Center Medical Homes Reminder September 2016 Network ConnectionAffordable Care Act Section 1557 Claims-related changesReimbursement for Long-acting Retractable Contraceptive Services for FQHCsPCSC Will No Longer Provide a Confirmation/Reference Numbers for Claims Status Inquiries August 2016 Real-time Directory UpdatesPharmacy & Therapeutic Committee Provider UpdatePresbyterian Dual Plus (HMO SNP) Reminder Letter July 2016 Medicaid Professional Fee ScheduleNational Imaging Associates, Inc. (NIA) Medical Specialty Solutions Program is Replacing Health Help Network ConnectionMedicaid Fee Schedule June 2016 NMDOH to Allow Registered Pharmacists to Dispense NaloxoneElectronic Visit Verification Tablets and Smartphone Stipend Update May 2016 Pharmacy & Therapeutic Committee Provider UpdateMedicaid Registration Required for Provider GroupsNetwork Connection April 2016 Centennial Care Rate Reductions Pre-notificationReal-time Provider Directory Updates: Selecting a Delegate to Make ChangesYour Guide to In-network Labs March 2016 Network ConnectionUse Contracted Laboratory Providers for all Laboratory Testing February 2016 Pharmacy & Therapeutic Committee Provider UpdateReal-time Provider Directory Updates Coming Soon2016 Practitioner and Provider Manuals Now AvailableJanuary 2016 Pharmacy and Therapeutics Committee Provider Update: First Quarter 2016Transgender Reassignment Surgery Covered by MedicareAnticoagulation Medication Management and MonitoringCoding and Reimbursement First Quarter Newsletter Additional Content Back To Top