• New Mexico Medicaid Portal


INFORMATION
WEB REGISTRATION
PROVIDER ENROLLMENT
.
Provider Enrollment Application and TAD/Reverification Response Submission

If you are unsure if you or your organization are already enrolled in the New Mexico Medicaid program, please use the Provider Search tool to verify status. If you have any further questions or need assistance, please contact the Consolidated Customer Service Center (CCSC) at 1-800-299-7304.

Create a New Application
Please enter your email address and click CREATE
*                   
Recall Your Existing Application or TAD/Reverification
To recall an application or TAD/reverification that you have partially completed, enter your reference number and click RECALL
*       
Forgot Your Reference Number?
If you have forgotten your reference number, please enter your email address below and click SUBMIT. The email address you submit will be validated against the one on file for you and your reference number will be sent to you by email.
*                   
Reopen and Resubmit Your Returned Application
To reopen a submitted application that has been returned for missing or incomplete information
*       
Submit TAD/Reverification Response
Please enter your email address and click CREATE
*