[NFB-NM] FW: Select your Medicaid MCO

[Tara Chavez]

Greetings everyone,

I’m passing this along for those of you who are on Medicaid.

Tara

 

 

From: Ellen Pinnes <epinnes at msn.com> 
Sent: Monday, April 15, 2024 8:27 AM
To: Ellen Pinnes <EPinnes at msn.com>
Subject: Select your Medicaid MCO

 

This message is from Ellen Pinnes and The Disability Coalition.  

      

* * * * * * *  

 

On July 1, New Mexico’s Medicaid program will officially change from
Centennial Care to Turquoise Care.  An important part of this transition is
a change to the line-up of managed care organizations (MCOs) available to
Medicaid recipients:  Western Sky will no longer be part of New Mexico
Medicaid but two new MCOs will be added – Molina and United.  Presbyterian
and Blue Cross Blue Shield will continue to be available as well.   

 

Because the MCOs available in New Mexico Medicaid are changing, there’s an
“open enrollment” period from April 1 through May 31 during which you can
pick an MCO.  Here’s how it will work:

 

*         If you’re enrolled with Western Sky, you’ll need to switch to a
new MCO.  You can choose a new MCO – either BCBS, Pres, or one of the two
new MCOs joining New Mexico Medicaid.  If you don’t select one of those MCOs
during the April-May open enrollment period, the Human Services Department
(HSD) will assign you to one.

*         If you’re currently enrolled in Medicaid with Blue Cross Blue
Shield or Presbyterian and you’re satisfied with that choice, you don’t have
to do anything – you’ll automatically stay enrolled with that MCO. 

*         If you’re enrolled with BCBS or Pres and want to change to a
different MCO, you can do that during the open enrollment period.

Everyone who’s currently enrolled with one of the Medicaid MCOs should get a
packet from HSD in the mail.  It will come in a yellow envelope so you’ll
see it in the mail and know to look at it.  The materials in the packet will
give you information about the upcoming change to Turquoise Care and how to
go about selecting an MCO.

 

Each MCO will have its own network of health care providers, though many
providers will be in more than one network – you’ll want to be sure that the
providers you prefer are in the network for the MCO you choose.   For
information about the four Turquoise Care MCOs to help you make your
selection, you can go to their websites:

 

*	Blue Cross Blue Shield of New Mexico
*	Molina Healthcare of New Mexico
*	Presbyterian Turquoise Care
*	United Healthcare Community Plan of New Mexico

You can choose your Turquoise Care MCO in any of the following ways:

*	Go to www.yes.state.nm.us/ <http://www.yes.state.nm.us/>  and use
the Chat feature,
*	Log into your YesNM account at www.yes.state.nm.us/
<http://www.yes.state.nm.us/> ,
*	Complete the open enrollment paperwork you get in the mail, or 
*	Call 1-800-283-4465 or 1-888-997-2583

If the links shown above don’t work – or if you want more information on
Turquoise Care, the new MCOs, or the enrollment process – go to the HSD
website at https://www.hsd.state.nm.us/Turquoise-Care/ to find the links to
the MCO websites and other information about Turquoise Care, including the
extra “value added” services that each MCO chooses to offer in addition to
the standard Medicaid benefits.  There are also several sets of Frequently
Asked Questions that will help you find out more about the coming changes.

 

HSD is also holding a series of “roadshow” meetings around the state that
you can attend to get more information about the change to Turquoise Care
and the new MCOs.  Those meetings began in late March with little notice and
have already been held in Albuquerque, Las Cruces, Silver City, Deming,
Santa Fe, Rio Rancho, Clovis, Hobbs, Carlsbad and Roswell.  They’ll continue
through the end of April in other New Mexico locations.  Here’s the
information about meetings that are still to come:

 

*         Monday, April 15

Zuni Reservation:  Zuni Wellness Center, 31 Pincion Street, Zuni 87327

Noon to 2:00 PM

      and

Gallup:  Main Library

115 West Hill Avenue, Gallup 87301

4:00 PM to 6:00 PM

 

*         Tuesday, April 16 

Grants:  Cibola Senior Center, 550 Jurassic Court, Grants 87020

10:00 AM to Noon

      and

Farmington:  Farmington Public Library, 2101 Farmington Avenue, Farmington
87401

4:00 PM to 6:00 PM

 

*         Wednesday, April 17

Shiprock:  Shiprock Chapter House

(No physical address; located 27 miles west of the Four Corners Regional
Airport on Highway 64, on right-hand side of the highway near the Dream Diné
Charter School)

9:00 AM to 11:00 AM

      and

Jicarilla, Dulce:  Jicarilla Apache Community Center, 80 Narrow Gauge St,
Dulce 87528

3:00 PM to 5:00 PM

 

*         Saturday, April 20

Five Sandoval – Town of Bernalillo:  Martha Liebert Public Library, 124
Calle Malinche, Bernalillo 87004

10:00 AM to Noon

 

*         Monday, April 22

Raton:  City Hall, 224 Savage Avenue, Raton 87740

Noon to 2:00 PM

 

*         Tuesday, April 23

Las Vegas:  Las Vegas Senior Center, 500 Sabino Street, Las Vegas 87701

10:00 AM to Noon

     

*         Thursday, April 25

Taos Pueblo:  Taos Pueblo Heritage Center, 501 Paseo del Pueblo Norte, Tao
87581

10:00 AM to Noon

      and

Eight Northern Pueblos, Nambe:  Nambe Pueblo Wellness Center, 15A NP 102
West, Santa Fe 87506

3:00 PM to 5:00 PM

*         Monday, April 29

Alamogordo:  Sgt. Willie Estrada Memorial Civic Center, 800 E. 1st Street,
Alamogordo 88310

2:00 PM to 4:00 PM

 

*         Tuesday, April 30

Los Lunas:  Fred Luna Multi-Generational Center, 197 Don Pasqual, Los Lunas
87031

11:00 AM to 1:00 PM

 

Non-Natives are welcome at all meetings held at Native locations.

 

If you need a disability-related accommodation to participate in one of the
meetings, contact HSD at 505-827-3100.  HSD asks that you make these
requests at least 48 hours before the date of the meeting.

 

* * * * * * * 

 

The Disability Coalition is funded in part by the  

New Mexico Developmental Disabilities Council 

through Federal Program funding. 

Additional funding is provided by 

The Arc of New Mexico, Disability Rights New Mexico, 

the Independent Living Resource Center, and New Vistas. 

              

If you prefer not to receive emails from The Disability Coalition,  

please send a message to EPinnes at msn.com <mailto:EPinnes at msn.com>   

with “unsubscribe” in the subject line.

 

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