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New Mexico Health Care Authority – Office of Fair Hearings fax number

(505) 476-6215

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Office of Fair Hearings

Used for: Submitting a Fair Hearing request (administrative hearing) for adverse actions in public assistance programs (Medicaid, MCOs, SNAP/TANF, etc.).

Fax destination details

Department
Office of Fair Hearings
Purpose
Submitting a Fair Hearing request (administrative hearing) for adverse actions in public assistance programs (Medicaid, MCOs, SNAP/TANF, etc.).
Form
Fair Hearing Request Form — Fair Hearing Request Form
Address
Office of Fair Hearings, P.O. Box 2348, Santa Fe, NM 87504-2348
Voice phone
(505) 476-6213

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Complete sections A–F of the Fair Hearing Request Form and submit to the Office of Fair Hearings. You can email the form to HCA-FairHearings@hca.nm.gov or fax to 505-476-6215; evidence can also be emailed or faxed to the same address.

Official form instructions are published as a downloadable file on the organization's website.

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