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NM Uniform Prior Authorization Form

NM Uniform Prior Authorization Form 2025

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The document is a New Mexico Uniform Prior Authorization Form used for submitting requests for medical or behavioral health services. It includes sections for enrollee and provider information, details about the requested treatment or procedure, prescription drug information, and attestation of accuracy. The form outlines the process for electronic and facsimile submissions, as well as contact information for the coverage review team.

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What is the purpose of a prior authorization?

Because of this, electronic prior authorization (ePA) has been embraced across the healthcare network: Today, nearly 100 percent of pharmacies, payers and electronic health records (EHRs) have an ePA solution. Nearly half of PA volume is still submitted through traditional channels like phone and fax.

What is an electronic prior authorization?

Electronic prior authorization (ePA) technology integrates with practices current e-prescribing workflows, and can save physicians time, speed up drug prior authorization approvals and improve patient medication adherence.

What is the e PA process?

Electronic Prior Authorization (ePA) is the electronic transmission of information between the prescriber, and payer to determine whether or not the PA is granted. NCPDP has developed technical standards to support this electronic transmission and improve the timeliness of the exchange of information.

Does NM Medicaid require prior authorization?

Note: For specific codes that apply, please access For a full list of services, visit the BCBSNM AIM webpage at BCBSNM.com/provider under Clinical Resources. Prior authorization required for all planned (elective) inpatient hospital care (surgical, non-surgical, behavioral health and/or substance abuse).

What are prior authorization forms?

Prior authorization requires your doctor or provider to obtain approval from your health plan before providing health care services or prescribing prescription drugs. Without prior authorization, your health plan may not pay for your treatment or medication. (Emergency care doesnt need prior authorization.)

What is the phone number for BCBS New Mexico prior authorization?

Contact Us Contact NamePhone/E-mail/URL Health Services Prior authorization and/or Recommended Clinical Review (RCR) of medical services Case Management Pharmacy Services 800-325-8334 or 505-291-3585 Health Services for Exchange Members Prior authorization of medical services 855-462-1783 Fax: 866-589-825315 more rows

NM Uniform Prior Authorization Form 2025

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