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January 2026 Top of Mind

New Mexico Medicaid: Gross receipt taxes reimbursed for services

Effective Jan. 1, 2026, New Mexico Senate Bill 249 requires managed care organizations (MCOs) to reimburse providers for gross receipt taxes (GRT) they pay to the state for Medicaid services they deliver to that MCO’s members.

Exceptions to this requirement include:

  • Non-profit providers
  • Claim reimbursements for pharmaceuticals, durable medical equipment and certain non-taxable medical codes

What this means for you
Provider remittance advice notices from Optum will show GRT and service payments on separate, itemized lines.

Questions? We're here to help.
Contact Provider Services at 1-877-614-0484.


 

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