CHAMPVA

How to Get Credentialed with CHAMPVA in New Mexico

Network: Open
14-45 Days

Quick Overview

Timeline

14 - 45 days

CAQH

Not Required

Re-credentialing

Every 5 year(s)

Delegated

No

New Mexico-Specific Requirements

CHAMPVA is a federal program administered by the VA Health Administration Center (HAC) in Denver, CO — not region-based. Providers must submit VA Form 10-583 for enrollment. New Mexico Medical Board oversees physician licensing. Accepted BH license types: LPCC, LCSW, LMFT. New Mexico requires DPS background checks for initial licensure. Claims processed centrally by VA HAC.

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for New Mexico.

2

Prepare Your Application

Complete CHAMPVA's provider enrollment application with all required information and supporting documentation.

3

Submit Your Application

Submit your completed enrollment package to CHAMPVA.

4

Track & Follow Up

Credentialing typically takes 14-45 days. Monitor your application status and respond promptly to requests for additional information.

Required Documents Checklist

Board Certification

Conditional

Required if board certified

CV/Resume

5-year work history minimum

DEA License

Conditional

Required if prescribing controlled substances

Malpractice Insurance

Current malpractice insurance certificate

Medical License

Active state medical license required

NPI Certificate

Active NPI number required

Enrollment Forms

CHAMPVA Provider Agreement (VA Form 10-583)

VA form required for providers to participate in the CHAMPVA network as an authorized provider.

Required
Open →

CHAMPVA Claim Form (VA Form 10-7959a)

Standard claim submission form for CHAMPVA-covered services rendered to eligible beneficiaries.

Open →

Contact Information

CHAMPVA Enrollment

National

1-800-733-8387

CHAMPVA Claims

National

1-800-733-8387

Quick Links

CHAMPVA Website Provider Portal

Need Help?

Let PayerReady handle your CHAMPVA enrollment in New Mexico.

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CHAMPVA in Other States

Alaska Alabama Arkansas Arizona California Colorado Connecticut District Of Columbia Delaware Florida

Other Payers in New Mexico

Aetna UnitedHealthcare Cigna Healthcare Anthem / Elevance Health Humana Centene Corporation Molina Healthcare Blue Cross and Blue Shield of New Mexico Centennial Care 2.0 Molina Healthcare (Medicaid)
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