New Mexico's Choice for Turquoise Care
On July 1, 2024, Turquoise Care became the new name for the New Mexico Medicaid Managed Care program (formerly known as Centennial Care).
What is Turquoise Care?
If you are looking for a Medicaid plan that will help to keep you healthy and happy? The Presbyterian Turquoise Care plan can do that. Presbyterian Turquoise Care gives you the basic benefits you need, plus extra value-added benefits. It is funded in part under a contract with the State of New Mexico. The plan includes physical health, behavioral health, and long-term care services.
You’re taking an important step – choosing the best health coverage for you and your family. Presbyterian has been part of New Mexico’s history for over 100 years and are proud to be your partner in health, giving you the services you need to support your overall wellness.
Who is Eligible for Medicaid (Turquoise Care)?
How to Apply for Turquoise Care
Presbyterian Turquoise Care Medicaid Covered Benefits
Presbyterian Turquoise Care gives you all the care you need. The plan covers things like:
Preventive care: Yearly checkups, mammograms, lab tests and immunizations (shots).
Large provider network: Access to Presbyterian Medical Group and our statewide network of primary care providers and specialists. View Turquoise Care Provider Directory
Care for pregnant people: Includes prenatal care and classes, follow-up care after your baby is born and special help for moms with high-risk pregnancies.
Rewards programs: Reward points and gift card incentives for completion of healthy living activities.
Dental and vision services: Routine exams to keep your teeth and gums strong. Plus, eye exams to keep your eyes healthy.
Transportation (ride) services: Help to get you to and from your medical appointments.
Disease management: Programs to help you manage your chronic health issues like diabetes, high blood pressure or asthma.
Urgent or emergency care: Get the care you need right away for major or minor medical problems.
Long-term services and supports: Help to manage your complex care that may be provided in your home, a community setting or a nursing facility.
Behavioral health and substance use disorder treatment: A wide range of services for all ages, including a 24-hour crisis line and other behavioral health support and resources for you or your family.
Prescription drug coverage: Covered prescriptions, including some over-the-counter medications. You can also get a TabTime® pill box with vibrating alarm reminders to alert you when it’s time to take your medication.
Presbyterian Turquoise Care Value Added Services
Presbyterian Turquoise Care offers value added services in addition to the standard covered benefits and services. Value added services are not subject to the appeals process. There are limitations to some of these services.
Pregnancy and Well-Baby Program: A no-cost program that offers rewards for taking your baby to their well-child appointments. Learn more about the Pregnancy and Well-Baby Program
Enhanced Care Coordination Meals on Wheels for Members Returning Home from Inpatient Admission: Meals on Wheels – an enhanced care coordination benefit. Eligible members returning home from an inpatient admission or members who have food insecurity.
Enhanced Care Coordination Specialized Services: Additional services for members in care coordination only (requires prior authorization). These services include wellness programs, home monitoring for high-risk members, and individualized services for members who meet criteria and as part of the member’s care plan.
Medisafe Medication Reminder: This is a medication reminder that you can download for free to your smartphone. It can help you manage the medications for you and/or several members of your family on one phone.
School Sports Physicals: A physical exam to allow children 12-18 years of age to participate in sporting activities and completion of the needed forms.
Tabtime Vibe Vibrating Pill Time Reminder: If you find it difficult to remember when to take your medication(s) as your provider prescribed, this modern version of the classic plastic pill case may help.
Traditional Medicine: Up to $300 per year reimbursed for traditional medicine or ceremonial purposes. Available only to Native American Turquoise Care members. Explore more about Native American benefits
Wellness Classes: Statewide community and online wellness classes for members with diabetes and/or asthma to promote healthy behaviors and improve quality of life.
Frequently Asked Questions (FAQs) - General
What is Medicaid?
Who is eligible for Turquoise Care Medicaid?
How do I apply for Medicaid?
Will any treatments or services I am receiving now change if I change my health plan?
How will Turquoise Care impact Medicaid enrollment for Children in State Custody (CISC) through the Children, Youth, & Families Department (CYFD)?
What is the difference between Centennial Care Medicaid and Turquoise Care Medicaid?
Will my benefits and coverage change with Turquoise Care?
Still have questions?
Frequently Asked Questions (FAQs) - Native American
Are Native Americans required to enroll in Turquoise Care?
How are services different between Fee for Service Medicaid and Turquoise Care?
If I choose to opt-in to Turquoise Care, can I still see my doctors at Indian Health Service (IHS) or my clinic?
What if I choose to be in Turquoise Care but later, I decide that I don’t like it and want to be in Fee for Service Medicaid?
Will there be people in Turquoise Care who understand my culture, language, and traditions who I can talk to?
Trust our family to serve yours.
Online Tools
Access your plan and your care online through myPRES. myPRES is an easy-to-use, secure website just for Presbyterian Health Plan members.
Full access to Presbyterian’s providers and hospitals
We’re your neighbors and your friends. With more than 10,619 providers and 2,016 facilities across New Mexico, Presbyterian offers specialized healthcare in the areas of women’s health, pediatric services, heart wellness, cancer care and more.
Presbyterian Health Plan’s growing statewide network
We have more than 26,000 providers in locations all over New Mexico and bordering Colorado and Texas communities.
Such services are funded in part with the State of New Mexico.