New Mexico Medicaid is transitioning to Turquoise Claims, a new claims management system replacing OmniCaid and the Medicaid Provider Web Portal.
Go‑Live Date: Monday, March 23, 2026 – 7:00 PM MT
Who Is Impacted?
- Providers submitting fee‑for‑service claims directly to the State begin using Turquoise Claims March 23 at 7:00 PM.
- Paper claim submitters must mail claims to a new P.O. Box beginning March 23 (address to be provided closer to launch).
- EDI claim submitters continue using clearinghouses as they do today.
- Managed care EDI submitters may see Payer ID updates. See the Turquoise Claims FAQ for details.
What Is Changing?
Claims System Downtime
- Claims submissions paused for 72 hours during system transition.
- Downtime: Friday, March 20 at 5:00 PM through Monday, March 23 at 7:00 PM.
- Claims submission resumes through Turquoise Claims at YES.NM.GOV.
AVRS Downtime
- AVRS unavailable Thursday, March 19 at 5:00 PM through Monday, March 23 at 7:00 PM.
- For assistance: CCSC Provider Line (800) 820‑6901.
- Hours: 7:00 AM – 5:00 PM MT.
Status & Eligibility During Downtime
- Medicaid Provider Web Portal available in Inquiry Mode only.
- Providers may check claim status, verify member eligibility, and download remittance advice documents (RAs) and reports.
- Eligibility information will be current as of March 19, 2026.
Claims Payments
- Claims payments will not be interrupted.
- Payment schedule remains unchanged.
- Remittance advice documents and EFT payments will continue as usual.
Key Transition Dates
| Date | Event |
| March 19 – 5:00 PM | AVRS suspended |
| March 20 – 5:00 PM | OmniCaid system offline; claims no longer accepted |
| March 23 – 7:00 PM | Begin submitting claims through Turquoise Claims |
| March 23 – 7:00 PM | AVRS back online |
How to Prepare
- Download final Remittance Advice (RA) documents from the Medicaid Provider Web Portal by March 23.
- Prior authorization providers should download final Prior Authorization reports.
- Create your YES.NM.GOV account in advance if you have not already.
- Additional Turquoise Claims access instructions will be sent at launch.
Questions? Contact the Medicaid Provider Call Center: (800) 820‑6901