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For Providers

Important Provider Updates

Important Upcoming Changes

The New Mexico Human Services Department (HSD) is rolling out effective January 1, 2020 a new standardized prior authorization form from the Office of Superintendent of Insurance (OSI). 

To avoid any delays in processing authorization requests please use the standard form. Requests made without the correct document will be returned to the provider asking for the new form and any other needed information.

This change to prior authorization requests does NOT apply to Community Benefit Providers. 

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If you are a contracted Western Sky Community Care provider, you can register now. If you are a non-contracted provider, you will be able to register after you submit your first claim. 

Once you have created an account, you can use the Western Sky Community Care provider portal to: 

  • Verify member eligibility
  • Manage claims
  • Manage authorizations
  • View patient list
  • Login/Register

Coming Soon

Join Our Network

Thank you for your interest in becoming a Western Sky Community Care network provider. We look forward to working with you to improve the health of the community.

join our network

Western Sky Community Care offers health insurance programs that fit the unique needs of our members.

View all of our available programs below. Select one to view more information and resources for our plan.

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