Secondary Freedom of Choice

Federal regulations require that applicants to Medicaid Waiver Programs be notified of their right to choose providers when more than one provider of the same service is available. If you have additional questions, please email us.

Request Secondary Freedom of Choice

You may obtain these forms from the appropriate case manager.
For the Case Manager generating a Secondary Freedom of Choice (FOC) Form for the State of New Mexico, please either fill out the form requesting the information or include in the body of your email the required data that the form contains.

Request Secondary Freedom of Choice (FOC) Form (click here).

Request Secondary FOC information to this email address (click here)

If the email does not function please cut and paste this email address to your email program: cpb.peu@state.nm.us

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