For therapists
New Mexico PT, OT and SLP guide
Who licenses OTs, PTs and SLPs in New Mexico, whether patients need a referral, how New Mexico Medicaid pays for children and adults, telehealth and the compacts, the business and records rules, and a launch checklist, every rule quoted from its source.
- Sources Cited
- Worksheet Included
- For Clinicians
For OT, PT and SLP clinics in New Mexico: three state boards license the disciplines; the licensing law requires a referral to the patient’s licensed health care provider after thirty days without measurable or functional improvement, with exceptions; New Mexico Medicaid covers children’s therapy under EPSDT and adults within its own rules; and telehealth follows the patient’s location.1,2,3,4,5
Key takeaways
- In New Mexico, physical therapists are licensed by the New Mexico Physical Therapy Board; occupational therapists by the Board of Examiners for Occupational Therapy; and speech-language pathologists by the Speech-Language Pathology, Audiology and Hearing Aid Dispensing Practices Board, each under its own licensing law and rules.1,6,7
- For physical therapy, the licensing law requires the physical therapist to refer a patient to the patient’s licensed health care provider if, after thirty days of initiating physical therapy intervention, the patient has not made measurable or functional improvement with respect to the primary complaints, with the thirty-day limit not applying to a condition related to a chronic, neuromuscular or developmental condition previously diagnosed by a licensed health care provider, to health promotion, wellness, fitness or maintenance services, or to services under an individual education plan or individual family service plan, and at any time the therapist has reason to believe the patient has symptoms or conditions beyond the scope of physical therapy.2,8,9,10,11,12
- New Mexico Medicaid covers occupational, physical and speech therapy for children under EPSDT, and its adult coverage, for members 21 and older, follows its covered-services rules.3,4,5,13,14
- Telehealth to a patient in New Mexico requires authority to practice where the patient is located; the PT Compact, the OT Compact and the ASLP Interstate Compact stand as their commissions state for New Mexico.15,16,17,18,19
- Medicare’s plan of care must be certified by a physician or nonphysician practitioner, and since January 2025 a signed order or referral on file can stand in for that signature on an initial plan delivered within 30 days of the evaluation.20
- A provider paid by New Mexico Medicaid keeps all medical and business records of the treatment, services or goods for at least six years from the payment date. The speech-language pathology board’s code of ethics requires licensees to maintain adequate records of the services they render.21,22
- The business entity is registered with the New Mexico Secretary of State, through its online business portal, and the state’s rules on who may own a therapy entity apply.23,24,25
- A child under three with a developmental delay is referred to the Family Infant Toddler (FIT) Program, which runs separately from an outpatient clinic’s own intake.26,27,28,29,30,31
Who licenses OTs, PTs and SLPs in New Mexico?
Three state boards license the three disciplines in New Mexico, and each publishes its own licensing law, rules, renewal cycle and continuing-education requirement.1,6,7 A clinic that employs more than one discipline keeps three registers, not one.
| Discipline | Board | Licensing law and rules | Renewal and continuing education | Assistants |
|---|---|---|---|---|
| Physical therapy | New Mexico Physical Therapy Board | Physical Therapy Act, NMSA 1978, Sections 61-12D-1 to 61-12D-19; 16.20 NMAC (Physical Therapists) | Every two years, with licenses expiring on February 1 following no more than two years of licensure; the board’s page says renewals occur on February 1, that a licensee cannot be licensed for more than a 2-year term, and that applications and renewals are submitted through the department’s online portal; 30 hours of continuing education per two-year renewal period (February 1 through January 31), with none required for a first renewal and no carryover | A PTA works under a physical therapist’s supervision; a physical therapist may not direct and supervise more than three full-time physical therapist assistants, or three full-time equivalents totaling 120 work hours per week, and the PTA may not interpret referrals, perform the initial, progress or discharge evaluations, or alter goals or the plan of care1,32,33,34,35,36,37,38,39,40,41,42,43,44,45 |
| Occupational therapy | Board of Examiners for Occupational Therapy | Occupational Therapy Act, NMSA 1978, Sections 61-12A-1 to 61-12A-25; 16.15 NMAC (Occupational Therapists) | Every year, with the renewal date October 1 and every license expiring on September 30; at least 15 continuing education contact hours in each year of licensure, earned before the next renewal | An OTA, or a person on a provisional permit, practices only under an occupational therapist’s supervision; the board’s rule leaves the frequency, methods and content of supervision to the practice setting, the complexity of client needs and the skills of the two licensees, and requires the OTA to file a statement of supervision with the board6,46,47,48,49,50,51,52,53,54 |
| Speech-language pathology | Speech-Language Pathology, Audiology and Hearing Aid Dispensing Practices Board | Speech-Language Pathology, Audiology and Hearing Aid Dispensing Practices Act, NMSA 1978, Sections 61-14B-1 to 61-14B-25; 16.26 NMAC (Hearing, Speech and Audiology Practitioners) | Every two years, on or before January 30 of the renewal year, with a sixty-day grace period after each licensing period; clinical fellows and apprentices renew annually; 20 hours of continuing education every two years, in the field of licensure or a related field the board office accepts | New Mexico licenses an apprentice in speech and language, whose scope is adjunct services planned, selected or designed by the supervising speech-language pathologist; the board’s rule requires a supervisor with at least two years of experience, direct supervision for at least ten percent of the apprentice’s contact time, and no more than three apprentices per supervising speech-language pathologist7,55,56,57,58,59,60,61,62,63,64 |
Physical therapists and physical therapist assistants answer to the New Mexico Physical Therapy Board.1,32,33,34,35,36,37,38,39,40,41,42,43,44,45 Occupational therapists and occupational therapy assistants answer to the Board of Examiners for Occupational Therapy.6,46,47,48,49,50,51,52,53,54 Speech-language pathologists answer to the Speech-Language Pathology, Audiology and Hearing Aid Dispensing Practices Board.7,55,56,57,58,59,60,61,62,63,64 The physical therapy board, five members appointed by the governor (three physical therapists and two public members), is administratively attached to the Regulation and Licensing Department.1,32,33,34,35,36,37,38,39,40,41,42,43,44,45 No one may practice physical therapy or act as a physical therapist assistant without the board’s license, unless exempt under the act.1,32,33,34,35,36,37,38,39,40,41,42,43,44,45 The board of examiners for occupational therapy, five members appointed by the governor (three licensees and two public members), is administratively attached to the Regulation and Licensing Department.6,46,47,48,49,50,51,52,53,54 No one may practice as an occupational therapist or occupational therapy assistant without a license under the act.6,46,47,48,49,50,51,52,53,54 The speech-language pathology, audiology and hearing aid dispensing practices board, eleven members including three speech-language pathologists, two audiologists, two hearing aid dispensers, an otolaryngologist and three public members, is administratively attached to the department.7,55,56,57,58,59,60,61,62,63,64 No one may practice as a speech-language pathologist without a license under the act.7,55,56,57,58,59,60,61,62,63,64 A license is a state authorization; a national certification (NBCOT for occupational therapy, the ASHA certificate for speech-language pathology, the NPTE for physical therapy) is a different thing and does not replace it. Compact privileges for practitioners licensed elsewhere are covered under telehealth below.
What does a New Mexico license renewal require?
Each board sets its own cycle and hours, listed in the table above, and the register template at the end of this page tracks them per clinician.1,6,7 A renewal missed is a lapse, and the board’s own rules say what a lapsed licensee may and may not do; the clinic reads those rules before a clinician’s renewal date passes, not after.
Can a patient see a New Mexico PT, OT or SLP without a referral?
State law answers this discipline by discipline, and a payer may still require a referral the law does not. For physical therapy, the licensing law requires the physical therapist to refer a patient to the patient’s licensed health care provider if, after thirty days of initiating physical therapy intervention, the patient has not made measurable or functional improvement with respect to the primary complaints, with the thirty-day limit not applying to a condition related to a chronic, neuromuscular or developmental condition previously diagnosed by a licensed health care provider, to health promotion, wellness, fitness or maintenance services, or to services under an individual education plan or individual family service plan, and at any time the therapist has reason to believe the patient has symptoms or conditions beyond the scope of physical therapy.2,8,9,10,11,12 The licensed health care providers the act names are medical doctors and osteopathic physicians, chiropractic physicians, podiatrists, dentists, doctors of oriental medicine, certified nurse practitioners, certified nurse-midwives, certified nurse specialists and physician assistants. New Mexico Medicaid’s EPSDT rule, as a payer, has physical therapy for members under 21 provided as a result of a referral from the member’s primary care provider.2,8,9,10,11,12 For occupational therapy, the licensing act requires a license and defines the practice of occupational therapy to include evaluation of factors affecting all areas of occupation, activity analysis, and the design, implementation and modification of therapeutic interventions.65,66,67 New Mexico Medicaid’s EPSDT rule, as a payer, has occupational therapy for members under 21 provided as the result of a referral from the member’s primary care provider.65,66,67 For speech-language pathology, the licensing act requires a license and defines the speech-language pathologist’s scope to include diagnosis, prevention, identification, evaluation, consultation, habilitation, rehabilitation, instruction, counseling, training and research for people who have or are suspected of having disorders of communication, including speech, voice, fluency, language, oral motor function, dysphagia and cognitive-communicative processes.68,69,70 New Mexico Medicaid’s EPSDT rule, as a payer, has speech, language and hearing services for members under 21 provided as the result of a referral by the member’s primary care provider.68,69,70
The payer’s rule is separate. Medicare pays for outpatient therapy under a plan of care certified by a physician or nonphysician practitioner, and the regulation’s 2025 text lets a signed order or referral on file, with the plan delivered within 30 days of the initial evaluation, stand in for that signature on an initial plan.20 New Mexico Medicaid’s referral and prior-authorization rules are in the next section. A commercial plan’s rule is in its member contract and provider manual, and the clinic keeps a copy of each.
How does New Mexico Medicaid (Turquoise Care) pay for therapy?
New Mexico Medicaid is run by the New Mexico Health Care Authority (HCA), through its Medical Assistance Division, and a clinic enrolls through its provider enrollment route before it bills.71 For children, the federal EPSDT benefit requires the state to cover services that correct or ameliorate a condition found at a screening, whether or not the state plan covers them for adults.72 For members under 21, New Mexico Medicaid pays for medically necessary preventive, treatment and ameliorative services through EPSDT, including physical, occupational and speech-language therapy evaluations and treatment provided as the result of a referral from the member’s primary care provider.3,4,5
The managed care benefit package includes outpatient physical, occupational and speech therapy. For an adult in the "other adults" category’s alternative benefit plan, physical and occupational therapy and speech-language pathology are short-term therapies that must produce significant and demonstrable improvement within two months of the first treatment, extendable once for up to two months on the utilization review contractor’s approval.13,14 Each Turquoise Care managed care organization sets its own utilization management protocols within state and federal requirements, so prior authorization for therapy depends on the member’s plan. For fee-for-service claims the provider is responsible for verifying whether a service needs prior authorization before billing.73,74,75 Turquoise Care, the Medicaid managed care program since July 1, 2024, enrolls most members in one of four health plans: Blue Cross Blue Shield of New Mexico, Molina Healthcare of New Mexico, Presbyterian Health Plan and United Healthcare Community Plan of New Mexico. Native Americans may opt in, and a short list of eligibility categories is excluded from managed care.76,77,78,79 The fee schedule is published by the agency, and a clinic reads the current file rather than a remembered rate.80
How does New Mexico Medicaid want OT, PT and SLP claims coded?
New Mexico Medicaid’s billing rule bars billing a member for a claim denied through provider error or late filing, and its fee schedule is published as a pricing guide that does not by itself establish coverage.81,82 The codes, modifiers and authorization forms are each plan’s and the program’s and change with them, so the clinic reads the current versions before its first claim and records the date read in the payer register.
Does New Mexico Medicaid pay for therapy in schools?
New Mexico Medicaid pays for medically necessary school-based services for members under 21 that are part of an IEP, IFSP, 504 plan or individual health care plan or are otherwise medically necessary. The billing provider is the local education agency, with physical therapists, PTAs, occupational therapists, OTAs, speech-language pathologists, clinical fellows and apprentices among the individual service providers it employs or contracts.83,84,85 A school’s billing is the district’s, under its own program; an outpatient clinic’s claim for the same child is a separate matter with its own eligibility and authorization.
Does New Mexico Medicaid cover therapy by telehealth?
New Mexico Medicaid covers telemedicine visits delivered over an interactive, HIPAA-compliant audio and video system in real time, with coverage determined the same way as for in-person care. A distant-site provider outside New Mexico must hold the license New Mexico law requires.86,87 The telehealth section below covers the state’s own rules for the session itself.
What are New Mexico’s telehealth rules for therapy?
A therapist treating a patient by video needs authority to practice where the patient is located at the time of the session, and the federal telehealth site says so plainly: licensure follows the patient’s location, and a compact privilege is one route to it.15 New Mexico’s Telehealth Act recognizes and encourages telehealth, names physical therapists, occupational therapists and speech-language pathologists among its health care providers, requires providers to follow federal and state rules on security, confidentiality and privacy, and, since June 20, 2025, requires the same level of supervision for telehealth as for in-person practice. For speech-language pathology, the board’s rule requires notice to the client, guardian, caregiver and team of the right to refuse telehealth services, the options for service delivery and how to file a complaint.88,89,90,91,92
| Compact | New Mexico’s status | Source |
|---|---|---|
| PT Compact (physical therapy) | Not a member state of the PT Compact as listed by the commission, whose map places New Mexico among the non-member states where PT Compact legislation has not been introduced (October 30, 2026) | The PT Compact Commission16 |
| OT Compact (occupational therapy) | Not a member state of the OT Compact as listed by the commission (October 30, 2026) | The OT Compact Commission17 |
| ASLP Interstate Compact (speech-language pathology and audiology) | Not a member state of the ASLP Interstate Compact as listed by the commission (October 30, 2026) | The ASLP-IC Commission18,19 |
A compact privilege is not a national license: it is a privilege to practice in the specific member state that issued it, under that state’s licensing law, and a state that has enacted the compact may not yet be issuing privileges, which is why the table names the commission’s current status.16 New Mexico requires individual and group health insurance policies to cover services provided via telemedicine to the same extent as in person, without unique conditions, and to reimburse telemedicine on the same basis and at least the same rate as comparable in-person services.93
Which business steps are specific to New Mexico?
The entity is registered with the New Mexico Secretary of State, through its online business portal, and the choice of entity is shaped by the state’s rule on who may own a therapy business.23 New Mexico’s Professional Corporation Act lets individuals licensed to render a professional service incorporate a professional corporation, organized only to render one specific type of professional service and services ancillary to it, with only individuals licensed for that service as shareholders.24,25 State tax registration is with the New Mexico Taxation and Revenue Department, which issues a Business Tax Identification Number.94 New Mexico levies a gross receipts tax rather than a sales tax, and its base includes receipts for performing services in New Mexico. A health care practitioner may deduct receipts for commercial contract services or Medicare Part C services paid by a managed care organization or health care insurer, and before July 1, 2028 the copayments and deductibles for those services, and receipts for services to Medicare beneficiaries, with physical therapists, occupational therapists and speech-language pathologists among the practitioners the deduction statute names.95,96,97,98,99 New Mexico’s Workers’ Compensation Act applies to employers of three or more workers, and every private person, firm or corporation carrying on a business in the state with three or more workers is liable to pay compensation to a worker injured by accident arising out of and in the course of employment.100,101 A city or county business license is a local question, answered by the city hall of the clinic’s address. The startup-costs guide carries the budget worksheet these registrations go into.
What record and privacy rules apply in New Mexico?
A provider paid by New Mexico Medicaid keeps all medical and business records of the treatment, services or goods for at least six years from the payment date. The speech-language pathology board’s code of ethics requires licensees to maintain adequate records of the services they render.21,22 Two federal periods sit beside it and are often confused with it: Medicare requires 7 years for documentation of orders, certifications, referrals and payment requests, and HIPAA requires 6 years for its own compliance documentation, and neither sets the retention period for the clinical chart.102,103
New Mexico makes all health information that identifies specific individuals as patients strictly confidential and not a public record or accessible to the public, even when it is in the custody of a governmental agency, a state educational institution, a physicians’ or dentists’ association or a licensed health facility.104,105 New Mexico’s Data Breach Notification Act requires a person that owns or licenses personal identifying information of a New Mexico resident to notify each resident whose information is reasonably believed to have been subject to a security breach, in the most expedient time possible and no later than 45 calendar days after discovery, and to notify the attorney general and the major consumer reporting agencies when more than 1,000 residents are notified.106,107,108 New Mexico requires every person who knows or has a reasonable suspicion that a child is abused or neglected to report immediately to a local law enforcement agency, the children, youth and families department or, for an Indian child in Indian country, a tribal law enforcement or social services agency. Any person with reasonable cause to believe an incapacitated adult is abused, neglected or exploited must report it immediately to the department.109,110
Which New Mexico rules shape a pediatric clinic?
New Mexico’s Family Infant Toddler (FIT) Program, in the Early Childhood Education and Care Department, provides early intervention to children from birth to age three who have or are at risk of developmental delay. Anyone can make a referral, a local FIT provider agency evaluates the child, services under an IFSP are free to families, and the program bills Medicaid and private insurance with the parent’s agreement. The department says FIT agencies are funded with state and federal funds including Medicaid and IDEA Part C.26,27,28,29,30,31 A child who turns three moves from early intervention to the school district’s evaluation, and a private clinic’s services run beside both systems rather than inside them. New Mexico requires individual and group health insurance policies to cover screening for autism spectrum disorder and its treatment through speech therapy, occupational therapy, physical therapy and applied behavioral analysis, limited to treatment prescribed by the treating physician under a treatment plan, with no annual or lifetime dollar limits, no denial because the services are habilitative, and no denial on the basis of the insured’s age. Coverage may exclude services received under IDEA.111,112,113 The autism insurance mandates guide covers how such a mandate meets a plan’s own terms. The Department of Health’s Children’s Medical Services offers pediatric specialty clinics, care coordination and limited medical coverage to qualifying families. Covered services depend on the child’s diagnosis and may include payment for some therapies, for children who are both medically and financially eligible.114
Which New Mexico rules shape an adult clinic?
Medicare claims from New Mexico go to Novitas Solutions, Inc., the Medicare Administrative Contractor for Jurisdiction H, Parts A and B (Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma and Texas), whose local coverage articles for therapy are the ones a New Mexico clinic reads.115,116 CMS announced the Jurisdiction H award to Novitas on June 25, 2026.115,116 New Mexico Medicaid’s adult therapy rules are in the Medicaid section above. The Workers’ Compensation Administration publishes the Health Care Provider Fee Schedule and billing instructions that set what providers receive for treating injured workers, with the 2026 schedule posted as a workbook and a proposed 2027 schedule out for public comment with a hearing on December 2, 2026.117,118,119
Which associations and directory pages serve New Mexico?
The state chapters are APTA New Mexico for physical therapy, the New Mexico Occupational Therapy Association (NMOTA) for occupational therapy and the New Mexico Speech-Language-Hearing Association (NMSHA) for speech-language pathology.120,121,122 On DrSensory, families browse New Mexico clinics by discipline on the occupational therapy, physical therapy and speech therapy pages for the state, which the directory builds from the clinic addresses it holds; a clinic appears on the pages of its own address.123
Which New Mexico cities have DrSensory city pages?
Beyond its three New Mexico pages, the directory publishes city pages for one New Mexico city, Albuquerque, three pages across the three disciplines, each listing the clinics whose address is in that city; a clinic appears on the city page of its address without any action of its own, and a city or discipline without a page is reached through the state page.123
| City | Occupational therapy | Physical therapy | Speech therapy |
|---|---|---|---|
| Albuquerque | Occupational therapy in Albuquerque | Physical therapy in Albuquerque | Speech therapy in Albuquerque |
How many New Mexico PT, OT and SLP clinics does DrSensory list?
DrSensory lists 38 PT, OT and SLP clinics in New Mexico, on its occupational therapy, physical therapy and speech therapy pages for the state.123
Is your clinic one of the 38?
An unclaimed listing shows what public records hold: the name, address, phone and therapy. A claimed listing carries the Claimed and verified badge and the clinic’s own name, address, phone, hours, website, therapies, ages served and insurance accepted, corrected in the clinic’s own editor.
Claiming starts with finding the listing and confirming the clinic’s email with a six-digit code. Claiming is free. Nothing is charged. The subscription, the one paid tier, adds a description, photos, clinicians, reviews and family messages, at $349.99 a year or $29.99 a month for the first location.
Where does each requirement come from, and what does the clinic do?
| Requirement | Where it comes from | What the clinic does | Source |
|---|---|---|---|
| A license for each clinician | New Mexico Physical Therapy Board; Board of Examiners for Occupational Therapy; Speech-Language Pathology, Audiology and Hearing Aid Dispensing Practices Board | Verify every license on the board’s site and enter its renewal date in the register | 1,6,7,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59,60,61,62,63,64 |
| Referral or direct access | The licensing law for each discipline | Set the intake rule per discipline; keep the payer’s rule beside it | 2,8,9,10,11,12,65,66,67,68,69,70 |
| Medicaid enrollment and coverage | The New Mexico Health Care Authority (HCA), through its Medical Assistance Division | Enroll, read the program’s rules and each plan’s provider manual, note who issues authorizations | 3,4,5,71 |
| Medicare plan of care | 42 CFR 424.24 | Certify every plan, or hold the signed order or referral on file with the plan delivered within 30 days | 20 |
| Telehealth across a state line | The patient’s state and the compacts | Confirm the patient’s location each session; hold a license or a privilege there | 15,16 |
| The business entity | The New Mexico Secretary of State, through its online business portal | Choose the entity the state’s law allows and register it | 23,24,25 |
| Record retention | State law, Medicare and HIPAA | Keep the longest period that applies | 21,22,102 |
Which templates does a New Mexico launch need?
New Mexico launch checklist. Each line names its source so the clinic can re-read the rule when it changes.
- Physical therapy licenses verified with the New Mexico Physical Therapy Board; renewal dates and continuing-education hours entered in the register
- Occupational therapy licenses verified with the Board of Examiners for Occupational Therapy; the same
- Speech-language pathology licenses verified with the Speech-Language Pathology, Audiology and Hearing Aid Dispensing Practices Board; the same
- The intake rule for referrals set per discipline from the licensing law, with the payer’s rule beside it
- New Mexico Medicaid enrollment filed; the program’s rules, each plan’s provider manual and who issues authorizations noted
- Medicare enrollment and the plan-of-care routine in place
- Telehealth: the patient-location check at every session; licenses or compact privileges for every state served
- The entity registered with the New Mexico Secretary of State, through its online business portal; the ownership rule read
- The state’s sales-tax rule on services and on goods sold to patients read; a seller’s permit where the clinic sells goods
- Record retention set to the longest period that applies
- The early-intervention and school pathways known to intake, with the referral routes
- The Medicare contractor’s therapy articles bookmarked
- The state association memberships decided
License and renewal register. One line per clinician.
- Clinician: [their name]
- Discipline and board: [physical therapy, occupational therapy or speech-language pathology; the board]
- License number: [as the board lists it]
- Renewal date: [the date]
- Continuing-education hours due and completed: [hours due by the board’s rule; hours completed to date]
- Compact privileges held: [the states and the privilege numbers, if any]
- Checked on the board’s site: [the date and by whom]
Payer register. One line per payer the clinic bills.
- Payer: [New Mexico Medicaid, a managed care plan, Medicare through Novitas Solutions, Inc., a commercial plan]
- Enrollment or contract status and effective date: [the status; the date]
- Referral rule: [what the payer requires]
- Authorization rule and who issues it: [what needs authorization; who issues it]
- Telehealth rule: [covered services and modifiers]
- Fee schedule location and date read: [where; when]
- Owner: [who keeps this line current]
How might two New Mexico clinics plan a launch?
A pediatric occupational therapy clinic in Albuquerque. Hypothetical; a planning exercise, not a claim about demand in Albuquerque.
- Licensing: the owner and one occupational therapy assistant are verified with the Board of Examiners for Occupational Therapy; the assistant’s supervision rule from the board goes into the staffing plan.
- Referrals: the licensing law’s rule for occupational therapy sets the intake script; New Mexico Medicaid’s referral and authorization rules sit beside it, since most of the first families are enrolled through a managed care plan.
- Medicaid: enrollment is filed before the first family is scheduled, and the program’s authorization rule for children, quoted above, is written into the scheduling routine.
- Early intervention: families with children under three are told how the referral to the Family Infant Toddler (FIT) Program works and that the clinic’s services run beside it.
- Records: the chart policy is set on day one at or above the longest retention period that applies.
An adult physical therapy clinic in Albuquerque. Hypothetical; a planning exercise, not a claim about demand in Albuquerque.
- Licensing: two physical therapists verified with the New Mexico Physical Therapy Board; one also holds a license in another state, which the telehealth policy records.
- Referrals: the licensing law’s thirty-day rule, with a referral to the patient’s licensed health care provider when there is no measurable or functional improvement, sets the intake script; Medicare’s plan-of-care routine is written before the first Medicare patient, with the signed order or referral held on file where the referring practitioner sends one.
- Medicare: enrollment through Novitas Solutions, Inc.; the contractor’s therapy articles are read for the codes the clinic bills.
- Telehealth: the patient-location check is part of every video session’s note; a patient who travels out of state is seen only where the clinic holds authority.
- Business: the entity is registered with the New Mexico Secretary of State, through its online business portal in the form the state’s law allows, and the local business license is filed with the city.
Frequently asked questions
Can I practice in New Mexico on a compact privilege from another state?
Only as the compact’s commission states for New Mexico: the table above gives each compact’s status, and a privilege is issued for a specific member state under that state’s licensing law, not as a national license.16,17,18,19
Does New Mexico Medicaid cover therapy for adults?
Within its own rules: its adult coverage, for members 21 and older, follows its covered-services rules, as the Medicaid section quotes, while children’s coverage runs under EPSDT.13,14,72
How long must a New Mexico clinic keep therapy records?
Six years from the payment date, for the records of care New Mexico Medicaid paid for.21,22 Medicare’s 7-year and HIPAA’s 6-year rules cover other documents and do not shorten it.102,103
Which entity can a New Mexico therapy clinic form?
New Mexico’s Professional Corporation Act lets individuals licensed to render a professional service incorporate a professional corporation, organized only to render one specific type of professional service and services ancillary to it, with only individuals licensed for that service as shareholders.24,25 Registration with the New Mexico Secretary of State, through its online business portal follows the choice.23
How is a young child referred to early intervention in New Mexico?
Through the Family Infant Toddler (FIT) Program, for children from birth to age three: anyone with a concern about a child’s development can make a referral, including parents, physicians, child care providers and others, to a local FIT provider agency listed in the program’s materials library.26,27,28,29,30,31
Where do families find New Mexico therapy clinics on DrSensory?
On the state’s occupational therapy, physical therapy and speech therapy pages and on the city pages listed above, built from the clinic addresses the directory holds; a clinic’s listing appears on the pages of its own address, and a paid listing adds the clinic’s own description, hours and specialties.123,124
Sources
- New Mexico Regulation and Licensing Department. New Mexico Physical Therapy Board. Checked October 30, 2026.
- New Mexico Compilation Commission (NMOneSource). NMSA 1978, Section 61-12D-10, Licensure; qualifications; licensure from foreign schools; temporary licenses; reinstatement (NMSA 1978 Chapter 61, Professional and Occupational Licenses (current statutes, NMOneSource PDF)). Checked October 30, 2026.
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“O. A physical therapist shall refer a patient to the patient’s licensed health care provider if: (1) after thirty days of initiating physical therapy intervention, the patient has not made measurable or functional improvement with respect to the primary complaints of the patient; provided that the thirty-day limit shall not apply to: (a) treatment provided for a condition related to a chronic, neuromuscular or developmental condition for a patient previously diagnosed by a licensed health care provider as having a chronic, neuromuscular or developmental condition; (b) services provided for health promotion, wellness, fitness or maintenance purposes; or (c) services provided to a patient who is participating in a program pursuant to an individual education plan or individual family service plan under federal law; or (2) at any time, the physical therapist has reason to believe the patient has symptoms or conditions requiring treatment that is beyond the scope of practice of the physical therapist.” - New Mexico Health Care Authority. 8.320.2 NMAC, Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Services (Medical Assistance Division program rule), Section 8.320.2.9. Checked October 30, 2026.
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“8.320.2.9 EARLY AND PERIODIC SCREENING, DIAGNOSTIC AND TREATMENT SERVICES: The medical assistance division (MAD) pays for medically necessary health services including preventive, treatment and ameliorative services for a medical assistance program (MAP) eligible recipient under 21 years of age through the early and periodic screening, diagnostic and treatment (ESPDT) services program.” - New Mexico Health Care Authority. 8.320.2 NMAC, Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Services (Medical Assistance Division program rule), Section 8.320.2.12. Checked October 30, 2026.
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“Physical therapy services are the evaluations required to determine the MAP eligible recipient’s need for physical therapy and the provision of therapies that are rehabilitative, active or restorative, and designed to correct or compensate for a medical problem interfering with age appropriate functional performance. ... Occupational therapy services include the evaluation of the MAP eligible recipient to determine if he or she is experiencing problems that interfere with his or her functional performance and the provision of therapies that are rehabilitative, active or restorative, and designed to correct or compensate for a medical problem interfering with age appropriate functional performance.” - New Mexico Health Care Authority. New Provider & PED Enrollment System. “The Provider & Presumptive Eligibility Determiner (PED) enrollment system at YES.NM.GOV makes it easy to become a Medicaid provider, or to become a PED and help people apply for Medicaid coverage.” Checked October 30, 2026.
- New Mexico Regulation and Licensing Department. Board of Examiners for Occupational Therapy. Checked October 30, 2026.
- New Mexico Regulation and Licensing Department. Speech-Language Pathology, Audiology and Hearing Aid Dispensing Practices Board. Checked October 30, 2026.
- New Mexico Commission of Public Records, State Records Center and Archives. 16.20.10 NMAC, Direct Care Requirements (Physical Therapists), Section 16.20.10.8. Checked October 30, 2026.
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“16.20.10.8 DIRECT CARE REQUIREMENTS: A physical therapist shall refer a patient to the patient’s licensed health care provider if: A. After thirty (30) days of initiating physical therapy intervention, the patient has not made measurable or functional improvement with respect to the primary complaints of the patient ...” - New Mexico Compilation Commission (NMOneSource). NMSA 1978, Section 61-12D-10, Licensure; qualifications; licensure from foreign schools; temporary licenses; reinstatement (NMSA 1978 Chapter 61, Professional and Occupational Licenses (current statutes, NMOneSource PDF)). Checked October 30, 2026.
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“P. As used in this section, "licensed health care provider" means: (1) a medical doctor or an osteopathic physician licensed pursuant to the Medical Practice Act [Chapter 61, Article 6 NMSA 1978]; (2) a chiropractic physician licensed pursuant to the Chiropractic Physician Practice Act [Chapter 61, Article 4 NMSA 1978]; (3) a podiatrist licensed pursuant to the Podiatry Act [Chapter 61, Article 8 NMSA 1978]; (4) a dentist licensed pursuant to the Dental Health Care Act [Chapter 61, Article 5A NMSA 1978]; (5) a doctor of oriental medicine licensed pursuant to the Acupuncture and Oriental Medicine Practice Act [Chapter 61, Article 14A NMSA 1978]; (6) a certified nurse practitioner licensed pursuant to the Nursing Practice Act [Chapter 61, Article 3 NMSA 1978]; (7) a certified nurse-midwife licensed pursuant to the Nursing Practice Act and registered with the public health division of the department of health as a certified nurse-midwife; (8) a certified nurse specialist licensed pursuant to the Nursing Practice Act; or (9) a physician assistant licensed pursuant to the Medical Practice Act [Chapter 61, Article 6 NMSA 1978].” - New Mexico Compilation Commission (NMOneSource). NMSA 1978, Section 61-12D-3, Definitions (NMSA 1978 Chapter 61, Professional and Occupational Licenses (current statutes, NMOneSource PDF)). Checked October 30, 2026.
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“I. "practice of physical therapy" means: (1) examining and evaluating patients with mechanical, physiological and developmental impairments, functional limitations and disabilities or other health-related conditions in order to determine a physical therapy diagnosis, prognosis and planned therapeutic intervention ...” - New Mexico Compilation Commission (NMOneSource). NMSA 1978, Section 61-12D-8, Practice of physical therapy; license required (NMSA 1978 Chapter 61, Professional and Occupational Licenses (current statutes, NMOneSource PDF)). Checked October 30, 2026.
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“C. A physical therapist shall refer persons under his care to the appropriate health care practitioner if the physical therapist has reasonable cause to believe symptoms or conditions are present that require services beyond his scope of practice or when physical therapy is contraindicated.” - New Mexico Health Care Authority. 8.320.2 NMAC, Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Services (Medical Assistance Division program rule), Section 8.320.2.12. “(c) Physical therapy services are provided by or under the direction of a qualified MAD enrolled physical therapist (PT) as a result of a referral from the MAP eligible recipient’s PCP.” Checked October 30, 2026.
- New Mexico Health Care Authority. 8.308.9 NMAC, Managed Care Program, Benefit Package (Medical Assistance Division program rule). Checked October 30, 2026.
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“W. Rehabilitation services: The benefit package includes inpatient and outpatient hospital, and outpatient physical, occupational and speech therapy services as detailed in 8.323.5 NMAC. For an ABP eligible recipient 21 years of age and older, see 8.309.4 NMAC for service limitations ...” - New Mexico Health Care Authority. 8.309.4 NMAC, Alternative Benefit Plan, Section 8.309.4.9 (Medical Assistance Division program rule). Checked October 30, 2026.
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“8.309.4.9 ALTERNATIVE BENEFITS PLAN SERVICES WITH LIMITATIONS (ABP): The medical assistance division (MAD) category of eligibility “other adults” has an alternative benefit plan (ABP). ... For an eligible recipient 21 years and older there are service limitations listed below: (1) cardiac rehabilitation is limited to 36 visits per cardiac event; (2) pulmonary rehabilitation is limited to short-term therapy as defined in Paragraph (3) below; and (3) physical and occupational therapies and speech and language pathology: (a) are short-term therapies that produce significant and demonstrable improvement within the two-month period of the initial date of treatment; and (b) the short-term therapy may be extended beyond the initial two month period for one additional period of up to two months dependent upon the MAD UR contractor, only if such services can be expected to result in continued significant improvement of the ABP eligible recipient’s physical condition within the extension period.” - U.S. Department of Health and Human Services. Getting started with licensure (Telehealth.HHS.gov, last updated February 21, 2024). Checked October 26, 2026.
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“Health professionals must meet the licensure requirements of the state where they are located and be licensed or legally permitted to practice in the state where the patient is located”. Its companion page, Licensing across state lines (last updated April 30, 2025): “The ability to deliver health care services across state lines varies based on state regulations”; “Prior to an appointment, providers should verify patient location and obtain consent”; “Compacts allow participating health care providers to practice in participating states”. - PT Compact Commission. PT Compact Map. “Non-Members (10) California Florida Hawaii Idaho Minnesota New Mexico New York Puerto Rico U.S. Virgin Islands Wyoming ... 10 Non-Member States PT Compact Legislation Has Not Been Introduced Yet ...” Checked October 30, 2026.
- Occupational Therapy Compact Commission. Before You Apply for an OT Compact Privilege. “States not listed below are not a member of the Occupational Therapy Compact.” Checked October 30, 2026.
- Audiology and Speech-Language Pathology Interstate Compact Commission. Compact Map. “Legislation Enacted - Not Yet Issuing Privileges: 33 Legislation Enacted - Issuing Privileges: 4 Active Legislation: 3 No Active Legislation:16 ...” Checked October 30, 2026.
- Audiology and Speech-Language Pathology Interstate Compact Commission. Compact Privilege to Practice Status Update. “October 28, 2025 The ASLP-IC Operationalizes! Licensed practitioners in Louisiana and West Virginia can register and begin the privilege to practice process.” Checked October 30, 2026.
- Code of Federal Regulations. 42 CFR 424.24, Requirements for medical and other health services furnished by providers under Medicare Part B (eCFR, up to date as of October 22, 2026; paragraph (c), outpatient physical therapy, occupational therapy and speech-language pathology services). Checked October 26, 2026.
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“The individual needs, or needed, physical therapy, occupational therapy, or speech-language pathology services.”; “The services were furnished while the individual was under the care of a physician, nurse practitioner, clinical nurse specialist, or physician assistant.”; “The initial certification must be obtained as soon as possible after the plan is established.”; “Recertification is required at least every 90 days.”; “When it is recertified, the plan or other documentation in the patient’s record must indicate the continuing need for physical therapy, occupational therapy or speech-language pathology services.”; “the therapist has documented evidence that the plan of treatment has been delivered to the physician, NP, PA, or CNS within 30 days of completion of the initial evaluation, the certification does not need to be signed by a physician, NP, CNS, or PA who has knowledge of the case.”; “No references to an order or referral in this subsection shall be construed to require an order or referral for outpatient physical therapy, occupational therapy, or speech-language pathology services.”. - New Mexico Health Care Authority. 8.302.1 NMAC, Medicaid General Provider Policies, General Provider Policies (Medical Assistance Division program rule), Section 8.302.1.17. Checked October 30, 2026.
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“E. Record retention: A provider who receives payment for treatment, services, or goods must retain all medical and business records relating to any of the following for a period of at least six years from the payment date: (1) treatment or care of any eligible recipient; (2) services or goods provided to any eligible recipient; (3) amounts paid by MAD on behalf of any eligible recipient; and (4) any records required by MAD for the administration of medicaid.” - New Mexico Commission of Public Records, State Records Center and Archives. 16.26.9 NMAC, Code of Ethics (Hearing, Speech and Audiology Practitioners). “(5) Licensed individuals shall maintain adequate records of professional services rendered and products dispensed and shall provide access to those records when appropriately authorized.” Checked October 30, 2026.
- New Mexico Secretary of State. Business Services. “All business filings have moved to online process. We will no longer accept paper filings for any business applications. Please proceed to https://enterprise.sos.nm.gov/ and create or log in to an account.” Checked October 30, 2026.
- New Mexico Compilation Commission (NMOneSource). NMSA 1978, Sections 53-6-3 and 53-6-5, Definitions; Purposes for which incorporated (Professional Corporation Act, NMSA 1978 Chapter 53, Corporations (current statutes, NMOneSource PDF)). Checked October 30, 2026.
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“B. "professional corporation" means a corporation which is organized under the Professional Corporation Act for the sole and specific purpose of rendering professional service and which has as its shareholders only individuals who themselves are licensed or otherwise legally authorized within this state to render the same professional service as the corporation. ... A professional corporation may be organized only for the purpose of rendering one specific type of professional service and services ancillary thereto and shall not engage in any business other than rendering the professional service which it was organized to render and services ancillary thereto ...” - New Mexico Compilation Commission (NMOneSource). NMSA 1978, Section 53-6-3, Definitions (Professional Corporation Act, NMSA 1978 Chapter 53, Corporations (current statutes, NMOneSource PDF)). Checked October 30, 2026.
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“A. "professional service" means any type of personal service to the public which requires, as a condition precedent to the rendering of such service, the obtaining of a license or other legal authorization and which, prior to the passage of the Professional Corporation Act and by reason of law, could not be performed by a corporation.” - New Mexico Early Childhood Education and Care Department. Family Infant Toddler (FIT) Program. “FIT provides early intervention services to over 14,000 children from birth to age three who have or are at risk of developmental delay—as well as their families.” Checked October 30, 2026.
- New Mexico Early Childhood Education and Care Department. Family Infant Toddler (FIT) Program. Checked October 30, 2026.
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“Anyone who has a concern about a child’s development can make a referral. This includes parents, guardians, foster parents and family members, professionals such as pediatricians, other physicians, social workers, nurses, home visitors, childcare providers, or others who have contact with the child. ... It is not necessary to determine a diagnosis or a delay prior to making a referral. Simply the fact that you are concerned about the child’s development is enough to generate a referral.” - New Mexico Early Childhood Education and Care Department. Family Infant Toddler (FIT) Program. “These agencies are funded through a combination of state and federal funds, including Medicaid, IDEA Part C, and private health insurance ...” Checked October 30, 2026.
- New Mexico Early Childhood Education and Care Department. Family Infant Toddler (FIT) Program. Checked October 30, 2026.
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“The FIT Program provides Early Intervention services at no cost to families. The FIT Program bills Medicaid and private insurance with the parent’s agreement. A law passed in 2005 requires that all health insurance plans cover up to $3,500 per year in FIT services. The FIT Program does not charge copays or deductibles.” - New Mexico Early Childhood Education and Care Department. Family Infant Toddler (FIT) Program. Checked October 30, 2026.
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“Your local FIT provider agency will set up a time to meet with you to complete a developmental evaluation for your child. ... If your child is eligible for early intervention services, your service coordinator will meet with you and the other team members to develop an Individualized Family Service Plan (IFSP).” - New Mexico Health Care Authority. 8.308.9 NMAC, Managed Care Program, Benefit Package (Medical Assistance Division program rule). Checked October 30, 2026.
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“B. Special rehabilitation services-family infant toddler (FIT): Early intervention services provided for a member birth to three years of age who has or is at risk for a developmental delay. Reimbursement for services is made by MAD or its contractor.” - New Mexico Compilation Commission (NMOneSource). NMSA 1978, Section 61-12D-4, Board created (NMSA 1978 Chapter 61, Professional and Occupational Licenses (current statutes, NMOneSource PDF)). Checked October 30, 2026.
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“A. The "physical therapy board" is created. The board shall be administratively attached to the regulation and licensing department. The board shall consist of five members appointed by the governor. Three members shall be physical therapists who are residents of the state, who possess unrestricted licenses to practice physical therapy and who have been practicing in New Mexico for no less than five years. Two members shall be citizens appointed from the public at large who are not associated with, or financially interested in, any health care profession.” - New Mexico Regulation and Licensing Department. Physical Therapy: Overview and Contact Information. “The New Mexico Physical Therapy Board oversees the practice of physical therapy. All physical therapists must have required educational and professional experience before they can be licensed to practice in New Mexico.” Checked October 30, 2026.
- New Mexico Compilation Commission (NMOneSource). NMSA 1978, Section 61-12D-8, Practice of physical therapy; license required (NMSA 1978 Chapter 61, Professional and Occupational Licenses (current statutes, NMOneSource PDF)). Checked October 30, 2026.
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“A. No person shall practice or hold himself out to be engaging in the practice of physical therapy or designate himself as a physical therapist unless he is licensed as a physical therapist or is exempt from licensure as provided in the Physical Therapy Act. ... B. No person shall designate himself or act as a physical therapist assistant unless he is licensed as a physical therapist assistant or is exempt from licensure as provided in the Physical Therapy Act.” - New Mexico Compilation Commission (NMOneSource). NMSA 1978, Section 61-12D-10, Licensure; qualifications; licensure from foreign schools; temporary licenses; reinstatement (NMSA 1978 Chapter 61, Professional and Occupational Licenses (current statutes, NMOneSource PDF)). Checked October 30, 2026.
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“A. An applicant for licensure as a physical therapist shall submit a completed application and have the following minimum qualifications: (1) be a graduate of an accredited physical therapy program approved by the board; (2) have successfully passed the national physical therapy examination approved by the board; and (3) have successfully passed the state jurisprudence examination.” - New Mexico Commission of Public Records, State Records Center and Archives. 16.20.8 NMAC, Renewal Requirements and Continuing Education (Physical Therapists), Section 16.20.8.8. Checked October 30, 2026.
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“16.20.8.8 RENEWAL REQUIREMENT: A. Renewal of license. (1) A licensed physical therapist and a physical therapist assistant shall apply for license renewal and pay the renewal fee as set forth in 16.20.5 NMAC, Schedule of Fees. (2) Licenses will be renewed biennially. Licenses will expire on February 1 following no more than two years of licensure.” - New Mexico Compilation Commission (NMOneSource). NMSA 1978, Section 61-12D-10, Licensure; qualifications; licensure from foreign schools; temporary licenses; reinstatement (NMSA 1978 Chapter 61, Professional and Occupational Licenses (current statutes, NMOneSource PDF)). Checked October 30, 2026.
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“K. A physical therapist or physical therapist assistant licensed under the provisions of the Physical Therapy Act shall renew the physical therapist’s or physical therapist assistant’s license as specified in board rules. A person who fails to renew the person’s license by the date of expiration shall not practice physical therapy as a physical therapist or physical therapist assistant in New Mexico.” - New Mexico Regulation and Licensing Department. Physical Therapy: Licensing, Registration, and Renewal. “Renewals occur on February 1. Per regulation, licensees cannot be licensed for more than a 2-year term, and dependent upon when the initial licensure occurred, would determine the renewal cycle a licensee is on.” Checked October 30, 2026.
- New Mexico Regulation and Licensing Department. Physical Therapy: Licensing, Registration, and Renewal. “Effective immediately, applications for initial licensure and renewal must be submitted through the online portal.” Checked October 30, 2026.
- New Mexico Commission of Public Records, State Records Center and Archives. 16.20.8 NMAC, Renewal Requirements and Continuing Education (Physical Therapists), Section 16.20.8.9. Checked October 30, 2026.
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“A. Thirty hours of continuing education will be required biennially, except those who will renew their license for the first time. No continuing education is required of those who are renewing for the first time. All continuing education hours must be earned during the current two year renewal period of February 1 through January 31.” - New Mexico Commission of Public Records, State Records Center and Archives. 16.20.8 NMAC, Renewal Requirements and Continuing Education (Physical Therapists), Section 16.20.8.10. “16.20.8.10 CONTINUING EDUCATION CREDIT CARRYOVER: No carryover hours will be permitted. Thirty continuing education hours must be earned during the current two year renewal period of February 1 through January 31.” Checked October 30, 2026.
- New Mexico Commission of Public Records, State Records Center and Archives. 16.20.7 NMAC, Supervision (Physical Therapists), Section 16.20.7.8. Checked October 30, 2026.
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“16.20.7.8 SUPERVISION OF LICENSED PERSONNEL: A. A physical therapist may not be responsible for the direction and supervision of more than three full-time physical therapist assistants, or three FTE’s (full-time equivalency totaling 120 work hours per week) requiring supervision, including temporary physical therapists, temporary physical therapist assistants, and licensed physical therapist assistants. B. A physical therapist may supervise three or more physical therapist assistants provided combined FTE’s do not exceed more than 120 hours per week.” - New Mexico Compilation Commission (NMOneSource). NMSA 1978, Section 61-12D-12, Supervision (NMSA 1978 Chapter 61, Professional and Occupational Licenses (current statutes, NMOneSource PDF)). Checked October 30, 2026.
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“A. A physical therapist is responsible for patient care given by assistive personnel under his supervision. A physical therapist may delegate to assistive personnel and supervise selected acts, tasks or procedures that fall within the scope of physical therapy practice but do not exceed the assistive personnel’s education or training. B. A physical therapist assistant shall function under the supervision of a physical therapist as prescribed by rules of the board.” - New Mexico Commission of Public Records, State Records Center and Archives. 16.20.6 NMAC, Physical Therapist Assistants, Section 16.20.6.8. Checked October 30, 2026.
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“... the physical therapist assistant shall not: (a) interpret referrals; (b) specify or perform definitive (initial, progress/re-evaluation, discharge) evaluative and assessment procedures; (c) alter goals or a plan of care; or (d) determine when to utilize the physical therapist assistant to perform selected interventions of physical therapy care.” - New Mexico Commission of Public Records, State Records Center and Archives. 16.20.6 NMAC, Physical Therapist Assistants, Section 16.20.6.8. “(3) the referring physical therapist will formulate a current written plan of care for each patient; the referring physical therapist will review the plan of care at least every 30 days ...” Checked October 30, 2026.
- New Mexico Compilation Commission (NMOneSource). NMSA 1978, Section 61-12A-8, Board created (NMSA 1978 Chapter 61, Professional and Occupational Licenses (current statutes, NMOneSource PDF)). Checked October 30, 2026.
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“A. The "board of examiners for occupational therapy" is created. B. The board shall be administratively attached to the regulation and licensing department. C. The board shall consist of five members appointed by the governor who have been residents of the state for at least two years preceding the appointment. D. Three members shall be licensed under the provisions of the Occupational Therapy Act; have a minimum of five years’ professional experience, with two years’ experience in New Mexico; and have not had their licenses suspended or revoked by this or any other state. One of the professional members may be an occupational therapy assistant and one of the professional members may be a retired occupational therapist or occupational therapy assistant, who has been retired for no more than five years at the time of appointment. E. Two members shall represent the public.” - New Mexico Regulation and Licensing Department. Occupational Therapy: Overview and Contact Information. Checked October 30, 2026.
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“The Occupational Therapy Act regulates individuals offering occupational therapy services to the public in order to: Safeguard the public health, safety, and welfare Protect the public from being misled by incompetent and unauthorized persons Assure the highest degree of professional conduct on the part of occupational therapists and occupational therapy assistants Assure the availability of occupational therapy services of high quality to persons in need of such services ...” - New Mexico Compilation Commission (NMOneSource). NMSA 1978, Section 61-12A-6, License required (NMSA 1978 Chapter 61, Professional and Occupational Licenses (current statutes, NMOneSource PDF)). “A. Unless licensed to practice the level of occupational therapy provided in the Occupational Therapy Act, a person shall not practice as an occupational therapist or occupational therapy assistant.” Checked October 30, 2026.
- New Mexico Commission of Public Records, State Records Center and Archives. 16.15.2 NMAC, Licensing Requirements (Occupational Therapists), Section 16.15.2.13. Checked October 30, 2026.
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“16.15.2.13 ANNUAL RENEWAL: A. Annual renewal fees must be remitted when due or license will expire automatically. B. Licenses may be renewed upon receipt of a renewal application submitted on the form provided by the board, or via on-line renewal application through the board’s on-line professional licensing system, the applicable annual renewal fee, and proof of continuing education requirements pursuant to regulations of the board. C. The annual renewal date is October 1st of each year. All licenses issued by the board will expire on September 30th of each year.” - New Mexico Compilation Commission (NMOneSource). NMSA 1978, Section 61-12A-15, License renewal (NMSA 1978 Chapter 61, Professional and Occupational Licenses (current statutes, NMOneSource PDF)). Checked October 30, 2026.
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“B. Licenses issued pursuant to the Occupational Therapy Act are subject to annual renewal upon submission of a renewal form provided by the board, payment of the annual renewal fee and the required proof of continuing education units or proof of competency as prescribed by the board. A license not renewed on the annual renewal date is expired.” - New Mexico Commission of Public Records, State Records Center and Archives. 16.15.4 NMAC, Continuing Education Requirements (Occupational Therapists), Section 16.15.4.8. Checked October 30, 2026.
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“A. Every licensed occupational therapist and occupational therapy assistant must earn a minimum of 15 continuing education contact hours per year during each year of licensure. Continuing education contact hours must be earned prior to license renewal the following year. The first year during which 15 contact hours must be earned is the year beginning on October 1st following license issuance and ending on the following September 30th.” - New Mexico Compilation Commission (NMOneSource). NMSA 1978, Section 61-12A-5, Supervision; required; defined (NMSA 1978 Chapter 61, Professional and Occupational Licenses (current statutes, NMOneSource PDF)). Checked October 30, 2026.
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“Occupational therapy shall not be performed by an occupational therapy assistant or by any person practicing on a provisional permit unless the occupational therapy is supervised by an occupational therapist. The board shall adopt rules defining supervision.” - New Mexico Commission of Public Records, State Records Center and Archives. 16.15.3 NMAC, Supervision (Occupational Therapists), Section 16.15.3.8. Checked October 30, 2026.
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“16.15.3.8 SUPERVISION: A. Occupational therapy assistants: supervision involves guidance and oversight related to the delivery of occupational therapy services and the facilitation of professional growth and competence. It is the responsibility of the occupational therapist and the occupational therapy assistant to seek the appropriate quality and frequency of supervision to ensure safe and effective occupational therapy service delivery. (1) The specific frequency, methods, and content of supervision may vary by practice setting and is dependent upon the: (a) complexity of client needs; (b) number and diversity of clients; (c) skills of the occupational therapist and the occupational therapy assistant; (d) type of practice setting; (e) requirements of the practice setting; and (f) other regulatory requirements.” - New Mexico Commission of Public Records, State Records Center and Archives. 16.15.2 NMAC, Licensing Requirements (Occupational Therapists), Section 16.15.2.9. Checked October 30, 2026.
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“F. An occupational therapy assistant (OTA), shall file with the board a signed, current statement of supervision by the occupational therapist (OT) who will be responsible for the supervision of the occupational therapy assistant (OTA) within 20 business days of starting employment as an OTA.” - New Mexico Compilation Commission (NMOneSource). NMSA 1978, Section 61-14B-9, Board created (NMSA 1978 Chapter 61, Professional and Occupational Licenses (current statutes, NMOneSource PDF)). Checked October 30, 2026.
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“A. There is created the "speech-language pathology, audiology and hearing aid dispensing practices board" that shall be administratively attached to the department. B. The board shall consist of eleven members who have been New Mexico residents for at least five years prior to their appointment. Among the membership, three members shall be licensed speech-language pathologists, two members shall be licensed audiologists, two members shall be licensed hearing aid dispensers, one member shall be a licensed otolaryngologist and three members shall represent the public and have no interest, direct or indirect, in the profession regulated.” - New Mexico Regulation and Licensing Department. Speech-Language Pathology, Audiology, and Hearing Aid Dispensing Practices: Overview and Contact Information. “The board licenses and regulates speech-language pathologists, audiologists, and hearing aid dispensers.” Checked October 30, 2026.
- New Mexico Compilation Commission (NMOneSource). NMSA 1978, Section 61-14B-7, License required (NMSA 1978 Chapter 61, Professional and Occupational Licenses (current statutes, NMOneSource PDF)). Checked October 30, 2026.
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“A. Unless licensed to practice speech-language pathology, audiology or hearing aid dispensing under the Speech-Language Pathology, Audiology and Hearing Aid Dispensing Practices Act, no person shall: (1) practice as a speech-language pathologist, audiologist or hearing aid dispenser ...” - New Mexico Commission of Public Records, State Records Center and Archives. 16.26.4 NMAC, Renewal of Licenses (Hearing, Speech and Audiology Practitioners), Section 16.26.4.8. Checked October 30, 2026.
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“16.26.4.8 RENEWAL OF LICENSES: A. All licensees except clinical fellows and apprentices shall apply for license renewal biennially on or before January 30 of the renewal year, on the renewal forms supplied by the board office.” - New Mexico Compilation Commission (NMOneSource). NMSA 1978, Section 61-14B-19, License renewal (NMSA 1978 Chapter 61, Professional and Occupational Licenses (current statutes, NMOneSource PDF)). Checked October 30, 2026.
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“A. Each licensee shall renew the licensee’s license biennially by submitting a renewal application as provided for in the board’s regulations. The board may require proof of continuing education as a requirement for renewal. ... B. A sixty-day grace period shall be allowed to each licensee after each licensing period. A license may be renewed during the grace period upon payment of a renewal fee and a late fee as prescribed by the board.” - New Mexico Regulation and Licensing Department. Speech-Language Pathology, Audiology, and Hearing Aid Dispensing Practices: Licensing, Registration, and Renewal. “Renewals will be made available online 45 days before expiration.” Checked October 30, 2026.
- New Mexico Commission of Public Records, State Records Center and Archives. 16.26.5 NMAC, Continuing Education (Hearing, Speech and Audiology Practitioners), Section 16.26.5.9. Checked October 30, 2026.
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“A. The board requires 20 hours of continuing education every two years. These may be distributed over the two year period, or they may all be obtained in one year. These continuing education hours must be in the field of licensure, or in a related field if justified to the board office.” - New Mexico Compilation Commission (NMOneSource). NMSA 1978, Section 61-14B-3.1, Scope of practice; apprentice in speech and language (NMSA 1978 Chapter 61, Professional and Occupational Licenses (current statutes, NMOneSource PDF)). Checked October 30, 2026.
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“The scope of practice for an apprentice in speech and language is to provide adjunct services that are planned, selected or designed by the supervising speech-language pathologist. These services may include: A. conducting speech-language or hearing screenings; B. following documented intervention plans or protocols; C. preparing written daily plans based on the overall intervention plan ...” - New Mexico Commission of Public Records, State Records Center and Archives. 16.26.2 NMAC, Licensure Requirements (Hearing, Speech and Audiology Practitioners), Section 16.26.2.18. Checked October 30, 2026.
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“C. Supervision requirements: (1) Work of the apprentice in speech-language must be supervised by a speech-language pathologist licensed by this act and who has a minimum of two years experience in the field. (a) Minimum of ten percent of contact time of the apprentice in speech-language must be direct supervision. ... (a) A speech-language pathologist may supervise a maximum of three apprentices at one time.” - New Mexico Compilation Commission (NMOneSource). NMSA 1978, Section 61-14B-2, Definitions (NMSA 1978 Chapter 61, Professional and Occupational Licenses (current statutes, NMOneSource PDF)). Checked October 30, 2026.
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“A. "apprentice" means a person working toward full licensure in speech-language pathology who meets the requirements for licensure as an apprentice in speech and language pursuant to the Speech-Language Pathology, Audiology and Hearing Aid Dispensing Practices Act ...” - New Mexico Compilation Commission (NMOneSource). NMSA 1978, Section 61-12A-4, Occupational therapy services (NMSA 1978 Chapter 61, Professional and Occupational Licenses (current statutes, NMOneSource PDF)). Checked October 30, 2026.
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“The practice of occupational therapy includes the following processes and services: A. evaluation of factors affecting all areas of occupation, including activities of daily living, instrumental activities of daily living, rest and sleep, education, work, productivity, play, leisure and social participation; ... C. design, implementation and modification of therapeutic interventions, including the following activities related to selection of intervention strategies to direct the process of interventions: (1) establishment, remediation or restoration of a skill or ability that has not yet developed, is impaired or is in decline ...” - New Mexico Compilation Commission (NMOneSource). NMSA 1978, Section 61-12A-6, License required (NMSA 1978 Chapter 61, Professional and Occupational Licenses (current statutes, NMOneSource PDF)). “A. Unless licensed to practice the level of occupational therapy provided in the Occupational Therapy Act, a person shall not practice as an occupational therapist or occupational therapy assistant.” Checked October 30, 2026.
- New Mexico Health Care Authority. 8.320.2 NMAC, Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Services (Medical Assistance Division program rule), Section 8.320.2.12. “(d) Occupational therapy services are provided by or under the direction of a qualified MAD enrolled occupational therapist (OT) as the result of a referral from the MAP eligible recipient’s PCP.” Checked October 30, 2026.
- New Mexico Compilation Commission (NMOneSource). NMSA 1978, Section 61-14B-3, Scope of practice; speech-language pathology (NMSA 1978 Chapter 61, Professional and Occupational Licenses (current statutes, NMOneSource PDF)). Checked October 30, 2026.
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“A. The scope of practice for speech-language pathologists shall include: (1) rendering or offering to render professional services, including diagnosis, prevention, identification, evaluation, consultation, habilitation, rehabilitation, instruction, counseling, prognostication, training and research to individuals or groups of individuals who have or are suspected of having disorders of communication, including speech comprehension, voice, fluency, language in all its expressive and receptive forms, including oral expression, reading, writing and comprehension, oral pharyngeal function, oral motor function, dysphagia ...” - New Mexico Compilation Commission (NMOneSource). NMSA 1978, Section 61-14B-7, License required (NMSA 1978 Chapter 61, Professional and Occupational Licenses (current statutes, NMOneSource PDF)). Checked October 30, 2026.
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“A. Unless licensed to practice speech-language pathology, audiology or hearing aid dispensing under the Speech-Language Pathology, Audiology and Hearing Aid Dispensing Practices Act, no person shall: (1) practice as a speech-language pathologist, audiologist or hearing aid dispenser ...” - New Mexico Health Care Authority. 8.320.2 NMAC, Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Services (Medical Assistance Division program rule), Section 8.320.2.12. “(f) Speech, language and hearing services provided by or under the direction of a MAD enrolled SLP or audiologist, as the result of a referral by the MAP eligible recipient’s PCP.” Checked October 30, 2026.
- New Mexico Health Care Authority. New Provider & PED Enrollment System. Checked October 30, 2026.
- Medicaid.gov (Centers for Medicare & Medicaid Services). Early and Periodic Screening, Diagnostic, and Treatment (Medicaid benefit page). Checked October 26, 2026.
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“The Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit provides comprehensive and preventive health care services for children under age 21 who are enrolled in Medicaid.”; “It is the responsibility of states to determine medical necessity on a case-by-case basis.”. - New Mexico Health Care Authority. 8.308.9 NMAC, Managed Care Program, Benefit Package (Medical Assistance Division program rule). “Unless otherwise directed, the MCO shall determine its own utilization management (UM) protocols and shall comply with state and federal requirements for UM including, but not limited to 42 CFR Part 456, which is based on reasonable medical evidence.” Checked October 30, 2026.
- New Mexico Health Care Authority. 8.302.2 NMAC, Medicaid General Provider Policies, Billing for Medicaid Services (Medical Assistance Division program rule). Checked October 30, 2026.
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“It is the provider’s responsibility to understand or verify the specific MAP category of eligibility in which an eligible recipient or member is enrolled ... the need for prior authorization for a service or item, and to bill the claim correctly and supply required documentation.” - New Mexico Health Care Authority. 8.310.2 NMAC, Health Care Professional Services, General Benefit Description (Medical Assistance Division program rule). Checked October 30, 2026.
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“All services must be furnished within the limits of the MAD New Mexico administrative code (NMAC) rules policies and instructions within the scope of practice defined by the provider’s licensing board, scope of practice act, or regulatory authority.” - New Mexico Health Care Authority. Turquoise Care Overview. Checked October 30, 2026.
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“Turquoise Care is the New Mexico Medicaid Managed Care program that began on July 1, 2024. Most Medicaid members are enrolled in managed care, and there are four health plans to choose from. Managed Care Organizations (MCOs) are health plans that provide health care services to Medicaid members.” - New Mexico Health Care Authority. Turquoise Care Overview. “Blue Cross Blue Shield of New Mexico ... Molina Healthcare of New Mexico ... Presbyterian Health Plan ... United Healthcare Community Plan of New Mexico ...” Checked October 30, 2026.
- New Mexico Health Care Authority. 8.308.6 NMAC, Managed Care Program, Managed Care Organization (MCO) Enrollment (Medical Assistance Division program rule). Checked October 30, 2026.
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“An eligible recipient is required to participate in an HCA managed care program unless specifically excluded as listed below. ... B. The following eligible recipients, as established by their eligibility category, are excluded from managed care enrollment: (1) qualified medicare beneficiaries (QMB)-only recipients; (2) specified low income medicare beneficiaries (SLIMB) only; (3) qualified individuals; (4) qualified disabled working individuals; (5) refugees; (6) participants in the program of all-inclusive care for the elderly (PACE); (7) children and adolescents in out-of-state foster care or adoption placements; (8) family planning-only eligible recipients and; (9) residents in an intermediate care facility for individuals with intellectual disabilities (ICF/IID). ... C. Native Americans may opt into managed care. If a Native American is dually eligible or in need of long-term care services, they are required to enroll in an MCO.” - New Mexico Health Care Authority. Managed Care Policy Manual. Checked October 30, 2026.
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“The purpose for the Managed Care Policy Manual is to provide a reference for the policies established by HCA for the administration of the Medicaid managed care program and to provide direction to the Managed Care Organizations (MCOs) and other entities providing service under managed care. ... Turquoise Care Managed Care Policy Manual Effective August 11, 2026 ...” - New Mexico Health Care Authority. Fee Schedules. Checked October 30, 2026.
- New Mexico Health Care Authority. 8.302.2 NMAC, Medicaid General Provider Policies, Billing for Medicaid Services (Medical Assistance Division program rule). Checked October 30, 2026.
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“G. A provider may not bill an eligible recipient, member or his or her authorized representative for a service or item when a claim is denied due to provider error in filing the claim or failing to meet the timely filing requirements.” - New Mexico Health Care Authority. Fee Schedules. “1. The Medicaid Fee Schedule is intended as a helpful pricing guide for providers of services. It is not to be used as a guide to coverage of services by the Medicaid Program for any individual client or groups of clients.” Checked October 30, 2026.
- New Mexico Health Care Authority. 8.320.6 NMAC, EPSDT Services, School-Based Services for MAP Eligible Recipients Under Twenty-One Years of Age (Medical Assistance Division program rule). Checked October 30, 2026.
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“8.320.6.9 SCHOOL-BASED SERVICES FOR RECIPIENTS UNDER TWENTY-ONE YEARS OF AGE: MAD pays for medically necessary services for a MAP eligible recipient under twenty-one years of age when the services are part of the MAP eligible recipient’s (eligible recipient’s) individualized education program (IEP) or an individualized family service plan (IFSP), a section 504 accommodation plan pursuant to 34 CFR 104 Subpart D (504 plan), an individual health care plan (IHCP), or are otherwise medically necessary as appropriate for each covered service for treatment (correction, amelioration, or prevention of deterioration) of an identified medical condition.” - New Mexico Health Care Authority. 8.320.6 NMAC, EPSDT Services, School-Based Services for MAP Eligible Recipients Under Twenty-One Years of Age (Medical Assistance Division program rule). Checked October 30, 2026.
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“B. The following individual service providers must be employed by, or under contract to, the LEA, REC, or other SFEA when furnishing treatment and meet other specified qualification criteria: (1) physical therapists (PT); (2) physical therapy assistants working under the supervision of a MAD enrolled PT; (3) occupational therapists (OT); (4) occupational therapy assistants working under the supervision of a MAD enrolled licensed occupational therapist; (5) speech and language pathologists (SLP) and clinical fellows; (6) apprentices in speech-language (ASL) working under the supervision of a MAD enrolled licensed speech therapist; supervision for those providers listed in Paragraphs (1) - (6) above must adhere to the requirements of the practitioner’s applicable licensing board ...” - New Mexico Health Care Authority. Medicaid School-Based Services Program. Checked October 30, 2026.
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“The MSBS program was added in 1994 as a Medicaid-covered benefit for children and youth age 3-20. Through this program, schools are eligible to receive reimbursement for services provided to Medicaid-eligible students that receive services under the Individuals with Disabilities Education Act (IDEA) through an Individualized Education Plan (IEP) or Individualized Family Service Plan (IFSP).” - New Mexico Health Care Authority. 8.310.2 NMAC, Health Care Professional Services, General Benefit Description (Medical Assistance Division program rule), Section 8.310.2.12. Checked October 30, 2026.
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“M. Telehealth services: (1) Telemedicine visits: An interactive HIPAA compliant telecommunication system must include both interactive audio and video and be delivered on a real-time basis at the originating and distant sites. ... Coverage for services rendered through telemedicine shall be determined in a manner consistent with medicaid coverage for health care services provided through in person consultation.” - New Mexico Health Care Authority. 8.308.9 NMAC, Managed Care Program, Benefit Package (Medical Assistance Division program rule). “8.308.9.18 TELEMEDICINE SERVICES: The benefit package includes telemedicine services as detailed in 8.310.2 NMAC.” Checked October 30, 2026.
- New Mexico Compilation Commission (NMOneSource). NMSA 1978, Section 24-25-4, Telehealth authorized; procedure (NMSA 1978 Chapter 24, Health and Safety (current statutes, NMOneSource PDF)). Checked October 30, 2026.
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“The delivery of health care via telehealth is recognized and encouraged as a safe, practical and necessary practice in New Mexico. No health care provider or operator of an originating site shall be disciplined for or discouraged from participating in telehealth pursuant to the New Mexico Telehealth Act. In using telehealth procedures, health care providers and operators of originating sites shall comply with all applicable federal and state guidelines and shall follow established federal and state rules regarding security, confidentiality and privacy protections for health care information.” - New Mexico Compilation Commission (NMOneSource). NMSA 1978, Section 24-25-3, Definitions (NMSA 1978 Chapter 24, Health and Safety (current statutes, NMOneSource PDF)). Checked October 30, 2026.
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“A. "health care provider" means a person licensed to provide health care to patients in New Mexico, including: (1) an optometrist; (2) a chiropractic physician; (3) a dentist; (4) a physician; (5) a podiatric physician; (6) an osteopathic physician; (7) a physician assistant; (8) a certified nurse practitioner; (9) a physical therapist; (10) an occupational therapist; (11) a speech-language pathologist ...” - New Mexico Compilation Commission (NMOneSource). NMSA 1978, Section 24-25-5, Scope of act (NMSA 1978 Chapter 24, Health and Safety (current statutes, NMOneSource PDF)). Checked October 30, 2026.
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“A. The New Mexico Telehealth Act does not alter the scope of practice of any health care provider or authorize the delivery of health care services in a setting, or in a manner, not otherwise authorized by law. ... C. Nothing in the New Mexico Telehealth Act shall be construed to alter supervision requirements set forth by a health care provider’s applicable licensing board. A health care provider shall provide telehealth services under the same level of supervision required for in-person practice. ... The 2025 amendment, effective June 20, 2025, provided that nothing in the New Mexico Telehealth Act shall be construed to alter supervision requirements set forth by a health care provider’s applicable licensing board, and that a health care provider shall provide telehealth services under the same level of supervision required for in-person practice; and added Subsection C.” - New Mexico Commission of Public Records, State Records Center and Archives. 16.26.2 NMAC, Licensure Requirements (Hearing, Speech and Audiology Practitioners), Section 16.26.2.20. Checked October 30, 2026.
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“A. An audiologist, speech-language pathologist or hearing aid dispenser licensed in New Mexico may use telecommunication technology to deliver services to a person residing in New Mexico who is physically present at a different location from the provider at the time services are received, so long as the services delivered through use of telecommunication technology meet or exceed the quality of services delivered face-to-face. ... B. An audiologist, speech-language pathologist or hearing aid dispenser who resides outside the boundaries of the state of New Mexico and delivers services or products to residents of New Mexico shall be licensed by the board.” - New Mexico Commission of Public Records, State Records Center and Archives. 16.26.2 NMAC, Licensure Requirements (Hearing, Speech and Audiology Practitioners), Section 16.26.2.20. Checked October 30, 2026.
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“G. A licensed audiologist, speech-language pathologist or hearing aid dispenser using telecommunication technology to deliver services to a client shall provide notice to the client, guardian, caregiver and multi-disciplinary team as appropriate, including but not limited to the right to refuse telehealth services, options for service delivery and instruction on filing and resolving complaints.” - New Mexico Compilation Commission (NMOneSource). NMSA 1978, Section 59A-22-49.3, Coverage for telemedicine services (NMSA 1978 Chapter 59A, Insurance Code (current statutes, NMOneSource PDF)). Checked October 30, 2026.
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“A. An individual or group health insurance policy, health care plan or certificate of health insurance that is delivered, issued for delivery or renewed in this state shall provide coverage for services provided via telemedicine to the same extent that the health insurance plan, policy or contract covers the same services when those services are provided via in-person consultation or contact. An insurer shall not impose any unique condition for coverage of services provided via telemedicine. ... I. An insurer shall reimburse for health care services delivered via telemedicine on the same basis and at least the same rate that the insurer reimburses for comparable services delivered via in-person consultation or contact.” - New Mexico Taxation and Revenue Department. Who must register a business?. “Anyone who engages in business in New Mexico must register with the Taxation and Revenue Department. ... After registering you will receive a New Mexico Business Tax Identification Number.” Checked October 30, 2026.
- New Mexico Taxation and Revenue Department. FYI-105: Gross Receipts and Compensating Taxes: An Overview (08/11/2025). Checked October 30, 2026.
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“"Gross receipts" means the total amount of money or the value of other consideration received from selling property in New Mexico, leasing or licensing property employed in New Mexico, from granting a right to use a franchise employed in New Mexico, from selling services performed outside New Mexico, the product of which is initially used in New Mexico, or for performing services in New Mexico ...” - New Mexico Compilation Commission (NMOneSource). NMSA 1978, Section 7-9-93, Deduction; gross receipts; certain receipts for services provided by health care practitioner or association of health care practitioners (NMSA 1978 Chapter 7, Taxation (current statutes, NMOneSource PDF)). Checked October 30, 2026.
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“A. Receipts of a health care practitioner or an association of health care practitioners for commercial contract services or medicare part C services paid by a managed care organization or health care insurer may be deducted from gross receipts if the services are within the scope of practice of the health care practitioner providing the service. Receipts from fee-for-service payments by a health care insurer may not be deducted from gross receipts. ... B. Prior to July 1, 2028, receipts from a copayment or deductible paid by an insured or enrollee to a health care practitioner or an association of health care practitioners for commercial contract services pursuant to the terms of the insured’s health insurance plan or enrollee’s managed care health plan may be deducted from gross receipts if the services are within the scope of practice of the health care practitioner providing the service.” - New Mexico Compilation Commission (NMOneSource). NMSA 1978, Section 7-9-93, Deduction; gross receipts; certain receipts for services provided by health care practitioner or association of health care practitioners (NMSA 1978 Chapter 7, Taxation (current statutes, NMOneSource PDF)). Checked October 30, 2026.
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“(f) a physical therapist licensed pursuant to the provisions of the Physical Therapy Act [61-12D-1 to 61-12D-19 NMSA 1978]; ... (l) a registered occupational therapist licensed pursuant to the provisions of the Occupational Therapy Act [Chapter 61, Article 12A NMSA 1978]; ... (n) a speech-language pathologist or audiologist licensed pursuant to the Speech-Language Pathology, Audiology and Hearing Aid Dispensing Practices Act [Chapter 61, Article 14B NMSA 1978] ...” - New Mexico Compilation Commission (NMOneSource). NMSA 1978, Section 7-9-77.1, Deduction; gross receipts tax; certain medical and health care services (NMSA 1978 Chapter 7, Taxation (current statutes, NMOneSource PDF)). Checked October 30, 2026.
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“A. Receipts of a health care practitioner or an association of health care practitioners from payments by the United States government, or any agency thereof, or from a medicare administrative contractor for medical and other health services provided by a health care practitioner to medicare beneficiaries pursuant to the provisions of Title 18 of the federal Social Security Act may be deducted from gross receipts.” - New Mexico Taxation and Revenue Department. FYI-105: Gross Receipts and Compensating Taxes: An Overview (08/11/2025). “11. Receipts of a health care practitioner or an association of health care practitioners from payments by managed care organization or health care insurers for commercial contract services or Medicare Part C services provided by a health care practitioner (7-9-93(A)).” Checked October 30, 2026.
- New Mexico Compilation Commission (NMOneSource). NMSA 1978, Section 52-1-6, Application of provisions of act (NMSA 1978 Chapter 52, Workers’ Compensation (current statutes, NMOneSource PDF)). Checked October 30, 2026.
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“A. The provisions of the Workers’ Compensation Act shall apply to employers of three or more workers; provided that act shall apply to all employers engaged in activities required to be licensed under the provisions of the Construction Industries Licensing Act [Chapter 60, Article 13 NMSA 1978] regardless of the number of employees. The provisions of the Workers’ Compensation Act shall not apply to employers of private domestic servants and farm and ranch laborers.” - New Mexico Compilation Commission (NMOneSource). NMSA 1978, Section 52-1-2, Employers who come within act (NMSA 1978 Chapter 52, Workers’ Compensation (current statutes, NMOneSource PDF)). Checked October 30, 2026.
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“... every private person, firm or corporation engaged in carrying on for the purpose of business or trade within this state, and which employs three or more workers, except as provided in Section 52-1-6 NMSA 1978, shall become liable to and shall pay to any such worker injured by accident arising out of and in the course of his employment ...” - Code of Federal Regulations. 42 CFR 424.516, Additional provider and supplier requirements for enrolling and maintaining active enrollment status in the Medicare program (eCFR, up to date as of October 22, 2026; paragraph (f), Maintaining and providing access to documentation). Checked October 26, 2026.
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“A provider or a supplier that furnishes covered ordered, certified, referred, or prescribed Part A or B services, items or drugs is required to—”; “Maintain documentation (as described in paragraph (f)(1)(ii) of this section) for 7 years from the date of service; and”; “Upon the request of CMS or a Medicare contractor, to provide access to that documentation”; “The documentation includes written and electronic documents (including the NPI of the physician or, when permitted, other eligible professional who ordered, certified, referred, or prescribed the Part A or B service, item, or drug) relating to written orders, certifications, referrals, prescriptions, and requests for payments for Part A or B services, items or drugs.”. - Code of Federal Regulations. 45 CFR 164.316, Policies and procedures and documentation requirements (eCFR, up to date as of October 22, 2026; HIPAA Security Rule; paragraph (b)). Checked October 26, 2026.
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“Maintain the policies and procedures implemented to comply with this subpart in written (which may be electronic) form; and”; “If an action, activity or assessment is required by this subpart to be documented, maintain a written (which may be electronic) record of the action, activity, or assessment.”; “Retain the documentation required by paragraph (b)(1) of this section for 6 years from the date of its creation or the date when it last was in effect, whichever is later.”. - New Mexico Compilation Commission (NMOneSource). NMSA 1978, Section 14-6-1, Health information; confidentiality; immunity from liability for furnishing (NMSA 1978 Chapter 14, Records, Rules, Legal Notices, Oaths (current statutes, NMOneSource PDF)). Checked October 30, 2026.
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“A. All health information that relates to and identifies specific individuals as patients is strictly confidential and shall not be a matter of public record or accessible to the public even though the information is in the custody of or contained in the records of a governmental agency or its agent, a state educational institution, a duly organized state or county association of licensed physicians or dentists, a licensed health facility or staff committees of such facilities.” - New Mexico Compilation Commission (NMOneSource). NMSA 1978, Section 24-25-4, Telehealth authorized; procedure (NMSA 1978 Chapter 24, Health and Safety (current statutes, NMOneSource PDF)). Checked October 30, 2026.
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“In using telehealth procedures, health care providers and operators of originating sites shall comply with all applicable federal and state guidelines and shall follow established federal and state rules regarding security, confidentiality and privacy protections for health care information.” - New Mexico Compilation Commission (NMOneSource). NMSA 1978, Section 57-12C-6, Notification of security breach (Data Breach Notification Act, NMSA 1978 Chapter 57, Trade Practices and Regulations (current statutes, NMOneSource PDF)). Checked October 30, 2026.
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“A. Except as provided in Subsection C of this section, a person that owns or licenses elements that include personal identifying information of a New Mexico resident shall provide notification to each New Mexico resident whose personal identifying information is reasonably believed to have been subject to a security breach. Notification shall be made in the most expedient time possible, but not later than forty- five calendar days following discovery of the security breach, except as provided in Section 9 [57-12C-9 NMSA 1978] of the Data Breach Notification Act.” - New Mexico Compilation Commission (NMOneSource). NMSA 1978, Section 57-12C-2, Definitions (Data Breach Notification Act, NMSA 1978 Chapter 57, Trade Practices and Regulations (current statutes, NMOneSource PDF)). Checked October 30, 2026.
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“C. "personal identifying information": (1) means an individual’s first name or first initial and last name in combination with one or more of the following data elements that relate to the individual, when the data elements are not protected through encryption or redaction or otherwise rendered unreadable or unusable: (a) social security number; (b) driver’s license number; (c) government-issued identification number; (d) account number, credit card number or debit card number in combination with any required security code, access code or password that would permit access to a person’s financial account; or (e) biometric data ...” - New Mexico Compilation Commission (NMOneSource). NMSA 1978, Section 57-12C-10, Notification to attorney general and credit reporting agencies (Data Breach Notification Act, NMSA 1978 Chapter 57, Trade Practices and Regulations (current statutes, NMOneSource PDF)). Checked October 30, 2026.
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“A person that is required to issue notification of a security breach pursuant to the Data Breach Notification Act to more than one thousand New Mexico residents as a result of a single security breach shall notify the office of the attorney general and major consumer reporting agencies that compile and maintain files on consumers on a nationwide basis, as defined in 15 U.S.C. Section 1681a(p), of the security breach in the most expedient time possible, and no later than forty-five calendar days ...” - New Mexico Compilation Commission (NMOneSource). NMSA 1978, Section 32A-4-3, Duty to report child abuse and child neglect; responsibility to investigate child abuse or neglect; penalty; notification of plan of safe care (NMSA 1978 Chapter 32A, Children’s Code (current statutes, NMOneSource PDF)). Checked October 30, 2026.
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“A. Every person, including a licensed physician; a resident or an intern examining, attending or treating a child; a law enforcement officer; a judge presiding during a proceeding; a registered nurse; a visiting nurse; a school employee; a social worker acting in an official capacity; or a member of the clergy who has information that is not privileged as a matter of law, who knows or has a reasonable suspicion that a child is an abused or a neglected child shall report the matter immediately to: (1) a local law enforcement agency; (2) the department; or (3) a tribal law enforcement or social services agency for any Indian child residing in Indian country.” - New Mexico Compilation Commission (NMOneSource). NMSA 1978, Section 27-7-30, Duty to report; penalty (Adult Protective Services Act, NMSA 1978 Chapter 27, Public Assistance (current statutes, NMOneSource PDF)). Checked October 30, 2026.
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“A. Any person, including financial institutions, having reasonable cause to believe that an incapacitated adult is being abused, neglected or exploited shall immediately report that information to the department. ... C. Any person failing or refusing to report, or obstructing or impeding any investigation, as required by Subsection A of this section is guilty of a misdemeanor.” - New Mexico Compilation Commission (NMOneSource). NMSA 1978, Section 59A-22-49, Coverage for autism spectrum disorder diagnosis and treatment (NMSA 1978 Chapter 59A, Insurance Code (current statutes, NMOneSource PDF)). Checked October 30, 2026.
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“A. An individual or group health insurance policy, health care plan or certificate of health insurance that is delivered, issued for delivery or renewed in this state shall provide coverage to an insured for: (1) well-baby and well-child screening for diagnosing the presence of autism spectrum disorder; and (2) treatment of autism spectrum disorder through speech therapy, occupational therapy, physical therapy and applied behavioral analysis. B. Coverage required pursuant to Subsection A of this section: (1) shall be limited to treatment that is prescribed by the insured’s treating physician in accordance with a treatment plan; (2) shall not be subject to annual or lifetime dollar limits ...” - New Mexico Compilation Commission (NMOneSource). NMSA 1978, Section 59A-22-49, Coverage for autism spectrum disorder diagnosis and treatment (NMSA 1978 Chapter 59A, Insurance Code (current statutes, NMOneSource PDF)). Checked October 30, 2026.
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“C. Coverage for treatment of autism spectrum disorder through speech therapy, occupational therapy, physical therapy and applied behavioral analysis shall not be denied to an insured on the basis of the insured’s age.” - New Mexico Compilation Commission (NMOneSource). NMSA 1978, Section 59A-22-49, Coverage for autism spectrum disorder diagnosis and treatment (NMSA 1978 Chapter 59A, Insurance Code (current statutes, NMOneSource PDF)). Checked October 30, 2026.
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“(5) may be limited to exclude coverage for services received under the federal Individuals with Disabilities Education Improvement Act of 2004 and related state laws that place responsibility on state and local school boards for providing specialized education and related services to children three to twenty-two years of age who have autism spectrum disorder.” - New Mexico Department of Health. Children’s Medical Services (CMS). Checked October 30, 2026.
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“Children’s Medical Services (CMS) is the go-to program for families with children with special health care needs. CMS offers multidisciplinary pediatric specialty clinics, information, referral, care coordination, and limited medical coverage to qualifying families. ... Services covered are specific to the child’s diagnosis but may include payment for diagnostic services, hospitalizations, physician services, and some therapies. Children must be both medically and financially eligible (except for diagnostic services).” - Centers for Medicare & Medicaid Services. Who are the MACs: A/B MAC Jurisdiction H (JH) (page last modified August 17, 2026). “Contract Awardee: Novitas Solutions, Inc., contract number 75FCMC19C0018 ... JH processes FFS Medicare Part A and Part B claims for Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma, and Texas ...” Checked October 30, 2026.
- Centers for Medicare & Medicaid Services. Who are the MACs: A/B MAC Jurisdiction H (JH) (page last modified August 17, 2026). “Award Announcement: A/B MAC Jurisdiction H award on SAM, June 25, 2026 ...” Checked October 30, 2026.
- New Mexico Workers’ Compensation Administration. Publications (Health Care Provider Fee Schedules). Checked October 30, 2026.
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“Health Care Provider (HCP) Fee Schedules: The WCA implements various cost-saving measures for medical services provided to injured or disabled workers. Health Care Provider Fee Schedule (HCP Fee Schedule) to set costs for medical procedures. Health care providers are normally limited to receiving payments within the range of the Fee Schedule.” - New Mexico Workers’ Compensation Administration. Medical Cost Containment. “The MCC Bureau, in conjunction with the Economic Research and Policy Bureau, publishes the Health Care Provider Fee Schedule (HCP Fee Schedule) and Billing instructions to set costs for medical procedures.” Checked October 30, 2026.
- New Mexico Workers’ Compensation Administration. Workers’ Compensation Administration (home page). “The proposed 2027 HCP Fee Schedule and Billing Instructions are now available for review and public comment. An in-person public comment hearing will be held December 2, 2026 ...” Checked October 30, 2026.
- APTA New Mexico. APTA New Mexico (the state association's site). Checked October 30, 2026.
- the New Mexico Occupational Therapy Association (NMOTA). the New Mexico Occupational Therapy Association (NMOTA) (the state association's site). Checked October 30, 2026.
- the New Mexico Speech-Language-Hearing Association (NMSHA). the New Mexico Speech-Language-Hearing Association (NMSHA) (the state association's site). Checked October 30, 2026.
- DrSensory. Occupational therapy clinics in New Mexico, with the physical therapy and speech therapy pages for the state (the directory's state pages, built from the addresses it holds). Checked October 30, 2026.
- DrSensory. Clinic Directory Pricing. “Claiming your listing is free. The subscription is $349.99 a year or $29.99 a month for your first location, and $99.99 a year or $9.99 a month for each additional location, not per therapist.” Checked October 30, 2026.
Medical disclaimer. This page is for general educational purposes and does not constitute medical advice, diagnosis, or treatment. It is general guidance on running a therapy clinic in New Mexico, not legal, compliance, billing or financial advice. Rules change; the clinic confirms each with its source before acting on it.
