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New Mexico MCO Roster Submission Tracker

Effectively managing Managed Care Organization (MCO) rosters is a critical component of successful behavioral health billing in New Mexico. This tracker provides a structured way for New Mexico behavioral health providers to monitor their MCO roster submissions, ensuring provider data is current and claims can process smoothly. It's designed to support operational workflows, not to replace official MCO communications or legal advice. Always confirm requirements with the relevant MCO.

Who it's for: New Mexico behavioral health practices, clinics, and individual providers.

Provider Information for Roster Submission

  • Provider Name (as listed with MCO)
  • Provider Type (e.g., LCSW, LPCC, MD, PhD)
  • NPI (National Provider Identifier)
  • License Number and State
  • CAQH ProView ID and Attestation Date
  • Specialties / Services Provided

MCO-Specific Details

  • MCO Name (e.g., Blue Cross Blue Shield of New Mexico, Molina Healthcare of New Mexico)
  • MCO Provider ID Number
  • Roster Submission Method (e.g., online portal, secure email, fax)
  • Contact Person/Department for Roster Updates
  • MCO Confirmation of Receipt Method

Submission & Follow-Up Log

  • Date of Roster Submission
  • Version of Roster Submitted (if applicable)
  • Confirmation Number or Email (if received)
  • Date for Follow-Up (e.g., 2-4 weeks post-submission)
  • Follow-Up Action Taken (e.g., email, phone call)
  • Outcome of Follow-Up (e.g., 'received', 'pending review', 'correction needed')
  • Date Roster Update Confirmed by MCO

Key Data Points for Roster Updates

  • Current Practice/Group Name
  • Current Practice NPI
  • Current Physical Address(es)
  • Current Billing Address
  • Current Phone and Fax Numbers
  • Current Email for Provider Communications
  • Effective Date of Credentialing/Contracting

Practical tips

  • Maintain a consistent naming convention for all roster files.
  • Keep detailed records of all communication with MCOs regarding roster updates.
  • Verify the MCO's preferred submission method and frequency requirements regularly.

Sources and verification

  • New Mexico Medicaid Behavioral Health Policy and Billing Manual — Provides general guidance for Medicaid behavioral health services.
  • Applicable MCO Provider Manuals and Websites — Specific roster submission requirements and timelines are detailed in each MCO's official provider resources.

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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