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FOR LEAD AGENCY USE ONLY: To request a Provider Alert, please fill out the Provider Alert template below and submit it to Raymond Duran (Raymond.Duran@hsd.nm.gov), Operations Director of the BHC for review and approval.

View file
nameNMSTAR Provider Alert Request Form Template.docx

The approved Provider Alert should be submitted by Raymond Duran on behalf of the BHC to FC Support at support@fallingcolors.com for processing. FC Support will respond to the request once the alert has been scheduled for distribution and posting.

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