Medicaid Provider Enrollment Overview
New Mexico offers 3 Medicaid waiver programs for home care agencies. The state Medicaid program is administered by New Mexico Human Services Department - Medical Assistance Division. Currently, New Mexico is actively enrolling new home care providers.
The average enrollment timeline is 90-120 days from initial application to receiving your first client. With medium demand for home care services, New Mexico represents a solid opportunity for agencies looking to serve Medicaid clients.
New Mexico Medicaid Waiver Programs
Home care agencies in New Mexico can enroll in the following waiver programs. Each program serves different populations and has specific service requirements.
Centennial Care 2.0 (Managed Care)
1115 WaiverComprehensive managed care including LTSS
Mi Via Self-Directed Waiver
1915(c) WaiverSelf-directed waiver for DD and disabled
Medically Fragile Waiver
1915(c) WaiverServices for medically fragile individuals
New Mexico Provider Requirements
To become a Medicaid provider in New Mexico, your home care agency must meet the following requirements:
- New Mexico business registration
- Home Health Agency or Personal Care Option agency certification
- Criminal background checks
- Professional liability insurance
- HSD provider standards
- Quality management plan
Step-by-Step Enrollment Process
Follow these steps to enroll as a Medicaid waiver provider in New Mexico:
Obtain New Mexico agency certification
Apply for NPI
Complete NM HSD Provider Enrollment
Contract with Centennial Care MCOs (Blue Cross, Presbyterian, Western Sky)
Complete EVV implementation
Pass readiness review