Checklists
- Alternative Benefit Plan (ABP) Exemption
- Applied Behavior Analysis (ABA)
- Dental Services
- Developmental Disabilities Traditional Waiver Budget
- Developmental Disabilities Traditional Waiver Level of Care
- Emergency Medical Services for Non-Citizens (EMSNC)
- Fee-for-Service (FFS) Prior Authorization — includes contact lenses and inpatient rehab services
- ICF/IID Level of Care
- Mi Via Developmental Disabilities Level of Care
- Mi Via Medically Fragile Level of Care
- Mi Via Service and Support Plan (SSP)/Budget
- Non-DRG LTAC Hospital
- Out-of-State Services
- Program of All-Inclusive Care for the Elderly (PACE) Level of Care
- Supports Waiver Agency-Based Budget
- Supports Waiver Level of Care
- Supports Waiver Participant-Directed Budget
Level of Care Determination Scoring Instructions
Uniform Prior Authorization Form
Replaces MAD forms 301, 303 and 616 as of Jan. 1, 2020.
Fax Numbers
- Applied Behavior Analysis: 888-515-2067
- MCO client information update requests: 888-562-2755
- Mi Via participants: 800-251-9993
- Urgent fee-for-service prior authorizations: 888-562-2755
Comagine Health Provider Portal
The Comagine Health Provider Portal is a web-based application for submitting authorization requests and supporting documents.
Go to the Comagine Health Provider Portal
For help or password resets, please call Comagine Health at 866-962-2180.
To get started with the Comagine Health Provider Portal, please complete the registration packet and email it to nmproviders@comagine.org. After we receive your registration packet we will send you an email with your login credentials.
Comagine Health Provider Portal Registration Packet
Administrator Guide
Administrator Guide (June 5, 2023)
User Guide
User Guide (June 5, 2023)
Quick Start Guides
- Admission Requests for All Residential Facilities and Therapeutic Foster Care
- Continued Stay Review Extension Requests for Acute Care Facilities
- Continued Stay Review Extension Request for Treatment Foster Care and Residential Providers
- Dental Requests
- Fee-for-Service (FFS) Requests — Inpatient and Outpatient
- Intermediate Care Facilities for Individuals With Intellectual Disabilities (ICF/IID) Requests
- Jackson Class Budget Requests
- Level of Care Requests for Acute Psychiatric Inpatient and Freestanding Psychiatric
- Level of Care Requests for Waivers
- Mi Via Budget Requests
- Nursing Facilities Level of Care (NFLOC) Requests
- Program of All-Inclusive Care for the Elderly (PACE) Level of Care (LOC) Requests
- Responding to Further Information
- Searching New Allocation Level of Care Episodes
- Supports Waiver Budget Requests
- Traditional Medically Fragile (MF) Budget Requests
- University of New Mexico (UNM) Outsider Reviewer (OR) Requests
- Waiver Agencies – Receiving Alerts, Responding to Requests for Information (RFI) and Removing Alerts
Training
Comagine Health Provider Portal Upgrade (May 2023)
- Acute Psychiatric Care in Freestanding Psychiatric Hospital
Recording | Slides - Contact Lens
Recording | Slides - Dental
Recording | Slides - Developmentally Disabled Waiver Case Managers
Recording | Slides - Durable Medical Equipment (DME) to Include Prosthetics/Orthotics and Nutritional Services
Recording | Slides - Early and Periodic Screening Diagnostic and Treatment (EPSDT)
Recording | Slides - Hearing Aids
Recording | Slides - Home Health
Recording | Slides - Hospitals/Physicians
Recording | Slides - Intermediate Care Facilities (ICF/IID)
Recording | Slides - Medically Fragile Waiver Case Managers
Recording | Slides - Mi Via Waiver Consultants
Recording | Slides - Nursing Facilities (NF)
Recording | Slides - Private Duty Nursing Service
Recording | Slides - Program of All-Inclusive Care for the Elderly (PACE)
Recording | Slides - Rehabilitation Services (In/Outpatient)
Recording | Slides - Residential Accredited and Residential Non-Accredited Behavioral Health
Recording | Slides - Residential Substance Use Disorder (SUD) Treatment
Recording | Slides - Supports Waiver — Agency-Based Community Support Coordinators
Recording | Slides - Supports Waiver — Participant-Directed Community Support Coordinators
Recording | Slides - Therapies
Recording | Slides - Transplant Services (In-State)
Recording | Slides - Treatment Foster Care
Recording | Slides - UNM Outsider Reviewer
Recording | Slides
Compliments and Complaints Letter
Compliments and Complaints Letter (June 2021)