This message is adapted 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.   

Special Open Enrollment Period: April 1 – May 31

Because the MCOs available in New Mexico Medicaid are changing, there’s an “open enrollment” period from April 1 through May 31, 2024 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. 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 Presbyterian 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.

Choosing 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: 1-866-689-1523
• Molina Healthcare of New Mexico: 1-844-862-4543
• Presbyterian Turquoise Care: 1-505-923-5256
• United Healthcare Community Plan of New Mexico: 1-844-690-0775

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

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

For more information on Turquoise Care, the new MCOs, or the enrollment process – go to the HSD’s website page on 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.