Medicaid/Managed CarePetroglyph
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Looking for a dentist who accepts Medicaid? Call 1-888-997-2583.
   
Medicaid: A joint state and federal program, which pays for healthcare services on the behalf of individuals who meet specific criteria.

Medicare: A federal health insurance program that provides benefits to those age 65 and older or Social Security disability benefits.

Medical Assistance Division (MAD)
Direct administration of Medicaid Programs
Fiscal responsibility
There are two different Medicaid plans with different service providers: Managed care organization (MCO) or Salud. These health plans include Lovelace, Presbyterian and Molina Health Care. The dental portion of the Medicaid program is administer by Doral dental services
The Fee-for-Service (FFS) or Medicaid exempt, program administrator is ACS. Inc., and oversees both the medical and dental program.
Salud programs have about 2/3 of New Mexico's Medicaid recipients
FFS programs have about 1/3 of New Mexico's Medicaid recipients
Currently in NM 1 out of 5 New Mexicans are enrolled in Medicaid

The mission of the medical assistance division is to assure access to medically necessary services for Medicaid eligible individuals

Dental Medicaid program role is to:
Oversee the service providers who administer the dental program.
Provide technical assistance for Medicaid FFS dental providers.
Work closely with MCO in regard to dental issues.
Review dental claims.
Handle complaints from both dental providers and Medicaid recipients.
Support dental provider recruitment into the NM Medicaid dental program.
Promote community outreach with dental associations.
Work on policy, benefits, services and billing for dental.

Contact information:
Britt Catron, RDH, MS, CHES
Dental Director
Phone: (505) 827-6246
Email: britt.catron@state.nm.us

Mailing address:
HSD/MAD
PO Box 2348
Santa Fe NM 87504-2348

Other important Numbers at MAD
Main phone number (505) 827-3100
Toll-Free number 1(888) 997-2583

Service providers of the dental program
Doral dental 1(800) 417-7140
ACS, Inc. 1(800) 299-7304
The service providers are available to answer questions in regard to, billing procedures, claims status, provider enrollment and client eligibility.

 
 
   
   
   
   
   
   
   
   
Medicaid Information

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