NM High-Fidelity Wraparound Provider Application

Prior to submitting this application, you should have completed the Provider Interest Form and met with a NM High-Fidelity Wraparound Coordinator.

If you’ve not completed the Provider Interest form, please do so. Do not proceed forward with the NM High-Fidelity Wraparound Application until you have completed the Provider Interest Form and met with a NM High-Fidelity Wraparound Coordinator.

Download and review the Application Form before completing this online form. Some of the fields in the Application Form and the online form request the same information.