Authorizations
How to Become a Medicaid Provider for Home Care
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
Which Medicaid managed care plans do home care agencies contract with in New Mexico?
Last verified October 17, 2026 · All New Mexico resources
New Mexico delivers long-term services and supports through 4 managed care plans in Turquoise Care (Community Benefit). New Mexico delivers home and community-based long-term care, called the Community Benefit, through Turquoise Care managed care organizations. Since July 1, 2024 the state has four Turquoise Care plans: Blue Cross Blue Shield of New Mexico, Molina Healthcare of New Mexico, Presbyterian Health Plan and United Healthcare Community Plan of New Mexico. Personal care agencies contract with each plan whose members they serve. Developmental disabilities waivers are run separately by the state.
Which plans are there?
- Blue Cross Blue Shield of New Mexico
- Molina Healthcare of New Mexico
- Presbyterian Health Plan
- United Healthcare Community Plan of New Mexico
For the programs that pay for home care, see New Mexico Medicaid waivers.
Sources
More for New Mexico
Medicaid managed care by state: other states
Related guides
Authorizations
How Do You Keep Caregiver Hours Inside a Medicaid Authorization?
Track units remaining, the end date and the service code for every client, and check them before each schedule change. Hours over the cap are unbillable.
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