The program record for practices under 7.35.3 NMAC — hosted under a BAA, the privacy agreement HIPAA requires, and kept apart from your health records. It builds the patient application and the administration-day packet straight from the record, instead of you assembling them at the deadline.
Patient registration, site certification, tracking the medicine from delivery to use, and safety reporting on the state's two-day deadline — all in one record, not in spreadsheets and scanned PDFs around it.
It does both DOH submissions: the 7.35.3.8 patient application and the 7.35.3.13.C administration-day packet, built from the record. When a deadline arrives, the packet is the record — nothing to re-enter, nothing to chase.
Consent, screening, and prep forms go to patients through a secure portal with typed e-signature. No paper packets, no scanned PDFs to chase down.
DOH submission packets are built from the program record. Program content never reaches an insurance claim; only the visit data required to bill a service correctly crosses over, and only when the practice bills through Downstream.
Billing is optional and runs on top of the record. Screening, prep, and integration bill as ordinary psychotherapy under Medicaid and commercial plans today — the insured part of a course comes to $840 to $1,027 per patient at provisional rates. The dosing day isn't billable until FDA approval; we route it to self-pay or the state Equity Fund and track it so it never ends up on a claim. Billing launches with a small group of founding clinics. What insurance actually pays →
It is the electronic record a practice needs to operate inside New Mexico's Medical Psilocybin Program under 7.35.3 NMAC. It tracks registration, site certification, chain of custody, and adverse events on the two-calendar-day reporting clock, collects patient consent and screening forms by e-signature, and generates DOH submission packets from the record.
No. The program record works on its own. It works the same whether a practice bills insurance through Downstream, bills insurance itself, or does not bill insurance at all. Insurance billing and credentialing are separate, optional services that a practice can add to the record at any point.
Your patients are not the product.
Pick a time that works, tell us where you practice and what you're interested in — record system, billing, superbills — and we'll take it from there.
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