| Document Date: 2013-04-11 19:22:53
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City Santa Fe / Albuquerque / / Company Molina Healthcare / / / Facility FFS Nursing Facility / Hospital Swing Bed Program / / IndustryTerm waiver services / durable medical equipment / personal care services / non-emergency out-of-state services / acute general hospital inpatient services / / MedicalCondition AIDS / Brain Injury / / MedicalTreatment organ transplants / / Organization Human Services Department/Medical Assistance Division / FFS UR / / Person Pamela S. Hyde / Jean Fuentes / / / Position HSD/MAD TPA/UR Contract Manager / Manager / phone number / Governor / Secretary / / ProvinceOrState New Mexico / /
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Medical Assistance Division PO Box 2348 Santa Fe, NM[removed]Phone: ([removed]Bill Richardson, Governor