Upcoming Reimbursement Changes for Out-of-Network Residential Treatment Centers

Oct. 27, 2025

Effective Jan. 1, 2026, we’ll update our Medicaid reimbursement rates for out-of-network residential treatment centers.

What’s changing: Centers will be reimbursed 95% of the published per diem rates from the New Mexico Health Care Authority. If HCA has no rates available for your facility, you’ll be reimbursed 95% of a statewide average of the published rates for similar facilities.