You are submitting to

Matrix Home Care of NM

Skilled nursing, therapy, and home health services submit a referral and our intake team will follow up.

✓HIPAA Secure Referral Portal

Skilled intake575-525-8755 Emailreferrals@matrixnm.com

Fax575-525-8795

✓Accepted plans

AetnaAetna MedicareBCBS MedicareBCBSNM- Turquoise CareDevotedDevoted Health PlanHumanaMolina MedicaidMolina MedicarePresbyterian CommercialPresbyterian MedicaidPresbyterian MedicareTANGO PHCA/ HumanaTraditional MedicareTricareUHC AARP Medicare Complete UHC CommercialUHC Dual CompleteUHC ExchangeUHC MedicaidUHC Medicare AdvantageVA (PGBA CCN MCR)VA (PGBA CCN)WellmedAetnaAetna MedicareBCBS MedicareBCBSNM- Turquoise CareDevotedDevoted Health PlanHumanaMolina MedicaidMolina MedicarePresbyterian CommercialPresbyterian MedicaidPresbyterian MedicareTANGO PHCA/ HumanaTraditional MedicareTricareUHC AARP Medicare Complete UHC CommercialUHC Dual CompleteUHC ExchangeUHC MedicaidUHC Medicare AdvantageVA (PGBA CCN MCR)VA (PGBA CCN)Wellmed

New referral

Submit a patient referral

Upload the referral packet to prefill the form, or enter the information manually.

Drag & drop referral documents

AI autofill

Add the order, face sheet, insurance card, clinical notes, or any supporting documents.

Check referral status

PDF, JPG, PNG, DOC, or DOCX • Multiple files supported

I will be faxing information to 575-525-8795 (Office is notified to expect fax)

Your information

Confirm who is sending this referral so we can provide updates and ask questions.

Organization / Facility *

Your name Optional

EmailRecommended for updates

Used for confirmation, questions, and referral status updates.

Patient information

Enter the patient exactly as shown on the referral.

Patient full name *

Date of birth (MM/DD/YYYY)

ZIP code *

Street address Optional

Insurance

Confirm the patient's primary coverage.

Insurance name *If the insurance is not listed, choose “Other / Not listed” and type the payer name no automatic default is applied.

Member ID

Referral details

Tell us what the patient needs and attach the supporting documents.

Services requested *

Referral notes Optional

Supporting documents

HIPAA Encrypted

Optional but recommended. Max total size: 50MB.

Referral documents

Progress notes

Facility network blocking uploads?

If uploads fail, you can securely fax or email documents instead.

Uploading documents allows us to confirm insurance and respond faster. You can additionally fax it to 575-525-8795.