New Mexico providers: New benefit plans and mandatory Medicaid enrollment

June 2024

We are pleased to be the new vision vendor for UnitedHealthcare Community Plan and Molina Healthcare of New Mexico starting July 1, 2024. The new benefit plans in our New Mexico Medicaid network are:

  • UnitedHealthcare Community Plan of New Mexico Turquoise Care 
  • Molina Healthcare of New Mexico Turquoise Care (2 plans) 
  • Molina Healthcare of New Mexico Alternative Benefit Plan (3 plans)

As a participating provider, you may start seeing these Medicaid members on July 1, 2024. Please check providers.eyesynergy.com for updates and additional details as they become available.

Mandatory Medicaid enrollment

The 21st Century Cures Act requires rendering and billing providers to be properly enrolled in New Mexico’s Medicaid program. To ensure claims are paid correctly, please submit claims with complete identifying information for both the rendering and billing provider that includes (but is not limited to):

  • Rendering NPI
  • Billing NPI
  • Taxonomy
  • Complete address

The claim may not be eligible for payment if the rendering and/or billing provider information on a claim does not match the information provided on the state’s enrollment file on the date of service.