Communication and instructions from DDSD about the Waldrop Settlement Agreement overrules the current, applicable policy, procedure, guidelines and instructions until such time as revisions can be published. « Read More »

Provider Enrollment

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This section contains the required forms for those who are interested in becoming DDW providers and those provider agencies who will be renewing their current Provider Agreement. These forms are necessary to ensure DDW provider agencies have a current Provider Agreement and are able to request changes as necessary. Please be sure that all paperwork is filled out accurately and completely. Include all requested documentation with the application in order to avoid a delay or denial in your submission.

If you have any questions about the application or any of the forms, please feel free to email us at: cpb.peu@state.nm.us.

 

 

Note: documents in Portable Document Format (PDF) require Adobe Acrobat Reader 5.0 or higher to view, download Adobe Acrobat Reader.

Note: documents in Word format (DOC) require Microsoft Viewer, download word.

Note: documents in Excel format (XLS) require Microsoft Viewer, download excel.