Contacts

Qualis Health

Phone:
(866) 962-2180 toll-free

Qualis Health Provider Portal

Go to the Qualis Health Provider Portal

Qualis Health Provider Portal Help: nmproviders@qualishealth.org

Fax Numbers

Applied Behavior Analysis: (888) 515-2067 toll-free

Waivers:

• Jackson Class Urgent: (877) 850-7269 toll-free
• MCO Client Information Update Requests: (888) 562-2755 toll-free
• Mi Via Participants: (800) 251-9993 toll-free

Urgent Fee for Service Prior Authorizations:
(out-of-state providers & infrequent users—submit less than 12 requests per year)
(888) 562-2755 toll-free

Care Management Department

Mailing address:
PO Box 20910
Albuquerque, NM 87154-0910

Kimberley Scott, MPA, MHA
Qualis Health New Mexico Contract Manager
PO Box 20910
Albuquerque, NM 87154-0910
(505) 217-7689
kimberleys@qualishealth.org

Dan Lessler, MD, MHA
Chief Clinical Officer
PO Box 33400
Seattle, WA 98133
(800) 949-7536 ext. 2343
dlessler@comagine.org

New Mexico Medicaid

Visit the New Mexico Human Services Department website:
http://www.hsd.state.nm.us/

View supplements to the MAD New Mexico Administrative Code program rules:
http://www.hsd.state.nm.us/providers/Registers_and_Supplements.aspx