State of New Mexico - Human Services Department

The State of New Mexico - Human Services Department (New Mexico Medicaid) provides healthcare services to low-income residents of the state. It is funded equally by federal and state general funds. The program focuses on coverage for eligible:

• Senior citizens
• Disabled individuals
• Children
• Pregnant women
• Parents

Qualis Health's Role

We are contracted by New Mexico Medicaid to improve health and control costs. Qualified New Mexico healthcare professionals work from our Albuquerque office to see that the right people get the right services at the right time.

Introduction to Qualis Health's Services

• Download this flyer for more information about the Level of Care Review services we provide and how to access those services. This includes:
  • Mi Via Waiver
  • Medically Fragile Waiver
  • Developmentally Disabled Waiver
  • Program of All Inclusive Care for the Elderly (PACE)
  • Intermediate Care Facilities (ICF/IID)
     
• Download this flyer for more information about the Utilization Management Review for Fee for Service services we provide and how to access those services. This includes:
  • Inpatient and outpatient physical and behavioral health services
  • Alternative Benefit Plan (ABP)
  • Emergency Medical Services for Undocumented Aliens (EMSA)
  • Dental Review

Appealing a Denied Service

Request a reconsideration by calling Qualis Health at (866) 962-2180.

Questions About New Mexico Medicaid

For more information, please visit the New Mexico Medicaid website at http://www.hsd.state.nm.us/.

For questions about the Mi Via waiver program, please go to http://archive.mivianm.org/.

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