New Mexico's Choice for Turquoise Care
What is Turquoise Care?
Turquoise Care is the New Mexico Medicaid Managed Care program. Presbyterian Health Plan is a Managed Care Organization (MCO) that provides health care services to Medicaid members and helps manage your healthcare needs.
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 Passport New Parent Program
Rewards you for attending prenatal and post partum appointments.
Earn gift cards and incentives for going to your prenatal and postpartum doctor visits.
Baby Bonus Well-Baby Program
Rewards you for taking your baby to their well-child appointments.
Earn gift card incentives for taking your baby (0-30 months of age) to their routine doctor visits
Wellness Classes
Statewide community and online wellness classes for members with diabetes and/or asthma.
Gift card incentive to participate in and complete a class
Traditional Medicine
Up to $300 once per calendar year (January 1 to December 31).
Only available to Native American Turquoise Care members for traditional medicine or ceremonial purposes only.
Enhanced Care Coordination Specialized Services
Services for members in Care Coordination only
Services include: home monitoring for high-risk members, and individualized services for members who meet criteria and as part of the member’s care plan
Enhanced services for children in state custody
Medication Reminders
Medisafe Medication Reminder: manage medications for you and your family on your phone.
Tabtime Vibe Vibrating Pill Time Reminder: this modern pill has five compartments with different alarms that vibrate when it’s time to take your medicine.
Meals on Wheels
Members in care coordination returning home from an inpatient admission and have a food insecurity.
Meals may be provided to the member and a natural support/caregiver as needed
Meals may be provided a two-week duration
Sports Physicals
For children 12-18 years of age to participate in sporting activities and completion of needed forms
Limited physical exam and is not the same as a routine well-child exam or regular physical
Frequently Asked Questions (FAQs) - General
Frequently Asked Questions (FAQs) - Native American
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.