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Vendors are responsible for determining the eligibility of a client at the time service is rendered. Non-Medicaid funds are intended for services for individuals not covered by Medicaid, who do not have commercial insurance, or any other source of funding (e.g. county indigent funds). Vendors must check the Medicaid portal prior to administering a service for non-Medicaid reimbursement. By submitting a service for non-Medicaid reimbursement, Vendors are attesting that they have verified a client’s non-Medicaid eligibility. Done here: https://nmmedicaid.portal.conduent.com/static/providerlogin.htm
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Should the Vendor have questions regarding payment the Vendor should address their questions, comments, or concerns to support@fallingcolors.com. Falling Colors will provide reasonable help to the Vendor in these types of requests or will forward those requests to the Collaborative. If the Vendor is dissatisfied with any decision related to payment, the Vendor agrees to address its grievance or dissatisfaction solely with the Collaborative Member Agency.