Medicaid

How to Get Credentialed with Centennial Care 2.0 in New Mexico

Network: Open
30-60 Days

Quick Overview

Timeline

30 - 60 days

CAQH

Not Required

Re-credentialing

Every 5 year(s)

Delegated

No

New Mexico-Specific Requirements

New Mexico Medicaid (Centennial Care) enrollment steps: (1) Obtain NPI via NPPES. (2) Register through the HSD (Human Services Department) provider enrollment portal managed by Conduent as fiscal agent. (3) Submit application with NM state license, proof of malpractice insurance, and required documentation. (4) Background check including state and federal criminal history is required for all providers. Centennial Care operates managed care through 3 MCOs covering physical health, behavioral health, and long-term care services. Behavioral health providers accepted include LPCC, LCSW, and LMFT with active New Mexico licensure. Revalidation is required every 5 years.

Medicaid Information — New Mexico

Agency: New Mexico HSD, Medical Assistance Division

Program: Centennial Care 2.0

Portal: https://www.hsd.state.nm.us/providers/

Phone: 1-505-827-3100

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 Centennial Care 2.0's provider enrollment application with all required information and supporting documentation.

3

Submit Your Application

Submit your completed enrollment package to Centennial Care 2.0.

4

Track & Follow Up

Credentialing typically takes 30-60 days. Monitor your application status and respond promptly to requests for additional information.

Required Documents Checklist

Background Check

Federal/state background check required for Medicaid enrollment

CV/Resume

Work history required

Malpractice Insurance

Conditional

Required in most states; some state programs waive for government employees

Medical License

NPI Certificate

Enrollment Forms

New Mexico Medicaid Provider Enrollment

Required
Online Open →

Contact Information

Provider Enrollment

National

1-505-827-3100

General Provider Inquiries

National

1-505-827-3100

Quick Links

Provider Portal

Need Help?

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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 Molina Healthcare (Medicaid) TRICARE
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