What We Do...
The NMPS Pediatric Council meets four times a year to discuss issues that affect your ability to run your practice efficiently and get paid properly for the services you provide to your patients.
Pediatricians from different regions around the state meet with the medical directors of the Medicaid Managed Care Organizations (MCOs), and representatives from the Department of Health, the Medicaid Assistance Division, and Envision New Mexico. The Council’s first project was helping pediatricians with Prior Authorizations for asthma medications. It has now branched out to include payment for vision photoscreening, coordination of Synagis administration, payment for telehealth services, and increasing payment for developmental screening, ACE screening, and postpartum depression screening.
What Have We Done for You Lately?
We have worked to:
ensure that three out of four Salud programs now pay for dental varnish application in your office;
ensure the safety of your patients by having cough and cold medicines removed from New Mexico Medicaid formularies for children under four;
develop and implement a universal prior authorization form for Synagis administration in New Mexico;
make it possible for to you to dispense nebulizers from your office;
expand coverage for MDIs and spacers;
to provide insurance payment for developmental screening for New Mexico children;
clarify fair payment for nutritional counseling for weight issues in our patient populations;
address asthma treatment in New Mexico with the New Mexico Department of Health; and
ensure payment for care provided during holidays, weekends, and after regular business hours.
If you have an issue deadling with the reimbursement of pediatric practice that you think the Council should address, please contact us.
Immunizations - Got Shots? Protect Tots!
The NMPS partners with the New Mexico Immunization Coalition in making sure that all New Mexico children are immunized on time. During “Got Shots? Protect Tots!” events, participating providers open their doors for any child who presents for immunizations, regardless of whether the child is a patient or has insurance. For more information on participating in future events, call Anna Pentler, NMIC ED, at 505-272-5796.
CATCH Grant Programs
The Community Access to Child Health (CATCH) implementation program supports pediatricians in the initial and/or pilot stages of developing and implementing community-based child health initiatives that increase access to medical homes or health services not otherwise available. Grants of up to $12,000 are awarded to pediatricians each year on a competitive basis.
CATCH Planning Funds Grant
The Community Access to Child Health planning grant provides between $2,500 and $12,000 to pediatricians to develop innovative, community-based initiatives that increase children's access to medical homes or to specific health services not otherwise available.
CATCH Resident Funds Grant
The Community Access to Child Health resident grants support pediatric residents in the planning and/or implementation stages of community-based child health initiatives. Grants of up to $3,000 are awarded twice each year on a competitive basis for pediatric residents to address the needs of children in their communities.
Calls for Proposals
Eligibility, guidelines, planning resources, and the online application are at (http://www.aap.org/catch/funding.htm). An interactive database of previously funded projects will give you an idea of the kind of projects CATCH is looking for: it is available at (http://www.aap.org/commpeds/grantsdatabase/ ).
It’s also possible to get good assistance from the CATCH staff at AAP headquarters, at 800-433-9016.
The Wylder Lecture Series is the premier CME event in the state of New Mexico for pediatricians and pediatric specialists. The Education Committee, comprised of volunteer pediatricians from across the state, works hard each year to plan this CME event.
Breastfeeding Task Force
The New Mexico Breastfeeding Task Force is working toward the goal of increasing the frequency and duration of breastfeeding in our state. In 1990 the Task Force joined forces with the NMPS and became an official subcommittee within the Society. Email Jim Fisk, MD at email@example.com or Emilie Sebesta, MD at firstname.lastname@example.org if you are a provider with questions or would like resource information.