New Mexico EVV Compliance

New Mexico Mandates AuthentiCare.
No Alternative Vendors Accepted.

New Mexico's State Mandated model requires all Medicaid home care agencies to use AuthentiCare (Fiserv) directly — for both EVV capture and data submission. Unlike open-model states, third-party EVV tools are not accepted in New Mexico. CareBravo manages AuthentiCare compliance as delivered operational work.

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New Mexico EVV — Quick Reference

What New Mexico Requires

Requirement
Detail
State Agency
HSD — New Mexico Human Services Department
EVV System
AuthentiCare (Fiserv) — state-mandated, direct use required
EVV Model
State Mandated — AuthentiCare required for capture AND aggregation; alternatives not accepted
Capture Method
AuthentiCare telephony or AuthentiCare mobile app — third-party capture tools not permitted
Services Covered
Personal Care Services, Home Health aide services, qualifying HCBS waiver services
Key Waivers
Mi Via Waiver, Developmental Disabilities (DD) Waiver

New Mexico's State Mandated model is stricter than Kansas's Provider Choice model, which also uses AuthentiCare. In Kansas, agencies can use alternative capture tools that submit to AuthentiCare. In New Mexico, the mandate requires direct use of AuthentiCare — caregivers must check in and out using AuthentiCare's own telephony or mobile application. Agencies operating in both states should not assume the same EVV setup covers both requirements.

Understanding the State Mandate

AuthentiCare in New Mexico vs. Open-Model States

Several states use AuthentiCare — Kansas, Arkansas (for PCS), New Hampshire, and New Mexico among them. What distinguishes New Mexico is the state mandate: New Mexico requires direct use of AuthentiCare's own capture interfaces, not just submission to the AuthentiCare aggregator. In open-model AuthentiCare states, agencies can use a third-party mobile app or telephony system that submits to AuthentiCare. In New Mexico, caregivers must use AuthentiCare's specific tools.

Practically, this means every caregiver must be provisioned in AuthentiCare with the correct service types and client assignments. Every visit starts with a caregiver calling AuthentiCare's telephony number or opening AuthentiCare's mobile app. Profile errors — incorrect service codes, wrong client assignments, misconfigured visit types — generate exceptions on every single visit until corrected.

CareBravo manages the AuthentiCare setup, caregiver provisioning, exception monitoring, and resolution workflow as delivered operational work for New Mexico agencies.

The Real Cost

AuthentiCare Exceptions Block New Mexico Billing

Unresolved AuthentiCare exceptions block billing for affected New Mexico visits. Profile misconfiguration — the most common source of systemic exceptions in state-mandated systems — can generate exceptions on every visit for an affected caregiver until the profile is corrected. CareBravo manages caregiver setup correctly from the start and resolves exceptions daily so billing-ready outputs arrive on schedule.

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Questions

New Mexico EVV — Common Questions

No. New Mexico's State Mandated model requires direct use of AuthentiCare. Caregivers must check in and out using AuthentiCare's telephony system or AuthentiCare's mobile application. Third-party capture tools — even ones that submit to AuthentiCare in other states — are not accepted as a substitute in New Mexico. Verify current requirements with HSD if your agency has questions about specific capture methods.

Kansas uses AuthentiCare under a Provider Choice model, which allows agencies to use alternative capture tools as long as data flows to AuthentiCare. New Mexico's State Mandated model requires direct use of AuthentiCare's own capture interfaces. Agencies operating in both states cannot use the same third-party capture setup for both — the New Mexico visits must go through AuthentiCare's native tools.

Federal law requires EVV for all Medicaid-funded Personal Care Services and Home Health aide visits. New Mexico's HCBS waivers — including the Mi Via Waiver (self-directed services) and the Developmental Disabilities (DD) Waiver — also require EVV through AuthentiCare for qualifying home-based services. Verify specific service code requirements with HSD.

CareBravo manages caregiver setup in AuthentiCare, exception monitoring, resolution workflows, and New Mexico Medicaid billing readiness as delivered operational work — under the state mandate's direct-use requirement. Agencies receive billing-ready outputs without managing the AuthentiCare exception queue themselves.

New Mexico AuthentiCare Compliance, Delivered

CareBravo manages AuthentiCare setup, exception resolution, and New Mexico Medicaid billing readiness under the state mandate — delivered as completed operational work.

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