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New Mexico Behavioral Health Credentialing and Enrollment Status Tracker
Effectively managing credentialing and enrollment is vital for behavioral health providers in New Mexico. This operational guidance and printable tracker offers a structured approach to keep track of your progress with Managed Care Organizations (MCOs) and state systems like YES.NM. Please remember, this is practical support, not legal, clinical, or billing advice.
Who it's for: New Mexico behavioral health practices, independent providers, and administrators needing to manage MCO credentialing and YES.NM enrollment workflows.
General Provider Information
- Provider Name (Individual/Group)
- NPI (National Provider Identifier)
- Tax ID (EIN/SSN)
- DEA Number (if applicable)
- State License Number (NM)
- License Expiration Date
- CAQH ProView ID
- CAQH Re-attestation Date
- Primary Contact Person for Credentialing
YES.NM Enrollment Status
- YES.NM Application Started Date
- YES.NM Application Submission Date
- YES.NM Application Status (Pending/Approved/Denied)
- YES.NM Effective Date
- YES.NM Provider ID/Number
- New Mexico Medicaid Behavioral Health Policy and Billing Manual Review Completed
- YES.NM Roster Submission Date (if applicable)
Managed Care Organization (MCO) Credentialing Status
- MCO Name (e.g., Blue Cross Blue Shield of NM, Molina, Presbyterian, UnitedHealthcare)
- Application Started Date
- Application Submission Date
- Credentialing Application Status (Pending/Approved/Denied)
- Contract/Agreement Signed Date
- MCO Provider ID Number
- Contract Effective Date
- MCO Provider Manual Review Completed
Ongoing Maintenance & Re-credentialing
- Next CAQH Re-attestation Due Date
- Next License Renewal Due Date
- Next MCO Re-credentialing Due Date
- Annual Training/CEUs Completed (document dates)
- Any Practice Changes Submitted (e.g., address, NPI, taxonomy)
- Roster Updates Submitted (if applicable)
- Payer Portal Access Confirmed
Practical tips
- Verify all requirements with the specific payer for the provider, service, and date.
- Maintain a clear, organized digital and/or physical file for all applications and correspondence.
- Bookmark MCO provider portals and YES.NM for direct access to policies and status updates.
Sources and verification
- New Mexico HCA — Turquoise Care
- New Mexico Behavioral Health Policy and Billing Manual — Introduction, version dated 4.1.25
- New Mexico HCA — Program Rules (NM Administrative Code)
- New Mexico HCA — Provider Enrollment (PED)
- New Mexico Medicaid Behavioral Health Policy and Billing Manual — Essential for understanding state-specific requirements for behavioral health services.
- Applicable MCO Provider Manuals — Each Managed Care Organization (MCO) provides its own specific rules and guidelines for credentialing, billing, and covered services.
- CAQH ProView — A primary source for professional credentialing data used by many payers.
Requirements, manuals, and payer policies may change; confirm the current version before relying on any source. Listed sources do not endorse New Mexico Billing.
Information on this website is educational and operational in nature. New Mexico rules, Medicaid manuals, payer policies, authorization requirements, and ASAM guidance may change. This website is not legal, clinical, coding, compliance, or payer-contracting advice.
Last reviewed: September 2026
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