What are the rules governing referral to a plan specialty care manager?
Specialty care managers can be contacted about any case or treatments including those that may indicate a complex medical condition. The Care Management Department telephone number is 1-866-853-5241. Where do I go with a pharmacy issue or complaint? For pharmacy issues related to a specific prescription, call the Provider Line at 1-800-900-1451 or 1-888-566-0008. If the issue involves prior authorization or medical necessity decisions, you should check the pharmacy section of the Plan’s website or call the NMHCrx Help Desk at 1-800-510-8980. How can I help a member get an ID card? Either you or the member can call the Member Services Call Center at 1-888-566-0010 (for members who speak English or other languages), 1-888-566-0012 (for Spanish-speaking members) or 1-866-765-0055 (for deaf and hearing-impaired members – TTY/TDD line) . If a member has no ID card and can’t get a prescription refilled, what should he or she do? Have the member call the Member Services Call Center at 1-888-5
