Presbyterian
Centennial Care Medicaid Plans
Centennial Care for Native Americans

Centennial Care Medicaid Plans

Need Help?


Phone:

 or 

TTY: 711

Navajo Hotline:

 (in Albuquerque)  (outside Albuquerque)

Phone hours: Monday through Friday, 8:00 a.m. - 6:00 p.m.

Email: info@phs.org

Live chat for members: Start Now

Address: 9521 San Mateo Blvd, NE Albuquerque, NM 87113

PresRN:

 or 

New Mexico Crisis and Access Line:

We have free interpreter services to answer any questions you may have about our health or drug plan. Just call us at 

 (TTY 711)

Plan Documents


Centennial Care Drug Formulary - By Drug ClassForm for Optum Home Delivery PrescriptionsTraditional Medicine Value Added Service Application

Pharmacy Locations

More Forms & Documents (Más formularios y documentos).

​Native American Team


Scott Atole Director, Native American Affairs, Presbyterian Health Plan Email: satole@phs.org Phone:

Mellisa Logg Supervisor, Education & Outreach, Presbyterian Health Plan Government Programs Email: mlogg2@phs.org Office phone:

Mobile phone:

Jennifer Sandoval Tribal Liaison (Central Region), Presbyterian Health Plan Government Programs Email: jsandoval8@phs.org Office phone:

Mobile phone:

Charlotte Jameson Tribal Liaison (Central Region), Presbyterian Health Plan Government Programs Email: cjameson@phs.org Office phone:

Mobile phone:

Helpful Resources


NM Human Services Department FAQ

Online Tools for Presbyterian Centennial Care MembersReporting Critical Incidents

New Mexico Indian Health Services

New Mexico Department of Health Reports

U.S. Food and Drug Administration Safety Alerts

U.S. Food and Drug Administration Drug Recalls

Transportation, Lodging & Meals FAQsHSD Emergency Rental Assistance Program FAQHSD Emergency Rental Assistance Program Press Release

Centennial Rewards COVID-19 Vaccine Video

Issues or Concerns?


Have you had a problem with your Medicaid coverage or suspect fraud?

Fraud & Abuse

Notices of Privacy Practices

Reporting Critical Incidents

Centennial Care for Native Americans

We are a Managed Care Organization (MCO) Medicaid health plan that helps manage your healthcare needs. We help guide you through your Centennial Care health plan coverage and can assist with accessing healthcare services. We also help when you have special needs or need complex healthcare services.

Presbyterian Centennial Care is committed to improving the health of Native American members, patients, and communities we serve. Presbyterian Health Plan also has a dedicated Native American team to help you with your health plan needs.

Native Americans can choose to get healthcare service at Indian Health Service, Tribal Healthcare Facilities, Urban Indian Health Centers (I/T/Us) as well as the Presbyterian Health Plan network of providers.

You can choose Presbyterian Centennial Care when you complete the Medicaid application.

PRESBYTERIAN CENTENNIAL CARE PROVIDES YOU WITH ALL THE CARE YOU NEED.

Benefits include Preventative care, Care for pregnant moms, Dental and vision services, Disease management, Urgent or emergency care, Long-term services and support, Prescription drug coverage, Behavioral health services and much more.

Presbyterian Centennial Care offers Value Added Services. These are unique services that are offered in addition to Medicaid covered benefits. Value added services are not subject to the appeals process. There are limitations to some of these services.

VALUE ADDED SERVICES

On top of all the great benefits and services that come with being a Presbyterian Centennial Care member, you also get value added services.

  • Traditional Medicine Value Added Service – We know that Traditional Customs are a vital part of health and wellness to Native American people. We seek to honor and support your culture with the Traditional Medicine Value Added Service. This Value Added Service can help with $300 once per member per calendar year (January 1 to December 31). This service is only available to Native American Centennial Care members. Use the links below to apply for this service.

    Online Traditional Medicine Value Added Service application

    Printable Traditional Medicine Value Added Services form

  • Pregnancy Passport New Parent Program – Pregnancy Passport is a no-cost program that offers rewards for attending prenatal and post-partum visits. We want to help you enjoy and understand your pregnancy. Plus, you can earn gift card incentives just for going to your prenatal and post-partum provider visits.

  • Baby Bonus Well-baby Program – Baby Bonus is a no-cost program that offers rewards for taking your baby to their well-child visits. We want to help your baby remain as healthy as possible. Plus, you can earn gift card incentives for taking your baby (0-30 months of age) to their routine provider visits.

  • 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 test positive for COVID-19 and have food insecurity. Meals may be provided to the member and a natural support/caregiver as needed. Meals may be provided for a two-week duration.

  • Enhanced Care Coordination Specialized Services – Additional services for members in Care Coordination only (must be approved by a Care Coordinator). These services include caregiver support 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 application that you can download to your smartphone at no-cost. It can help you manage the medications for you and/or several members of your family on one phone. It can also track all the medications for you and your family and tell you when it’s time to get one or more of them refilled. It works with iPhone or those phones with Android.

  • School Sports Physicals – A physical exam to allow children 12-18 years of age to take part in sporting activities and completion of the needed forms. This is a limited physical exam and is not the same as a routine well-child exam or regular physical.

  • 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. Tabtime is available for less than $20, and it has five (5) compartments with different alarms that vibrate when it’s time to take your medicine.

  • Wellness Classes – Statewide community and online wellness classes for members with diabetes and/or asthma to promote healthy behaviors and improve quality of life. Offering a gift card incentive to the members who participate in and complete a program.

Learn More About Centennial Care Medicaid Eligibility and Benefits

Learn More

Explore Resources and Learn How to Enjoy a Healthier Lifestyle

Learn More

NATIVE AMERICAN CONSUMER ADVISORY BOARD (NACAB)

Presbyterian Native American Affairs hosts Native American Consumer Advisory Board (NACAB) meetings to help us better serve Native American members and communities. These meetings are great for members to learn about services and benefits they can use as a Native American Centennial Care member. These meeting rotate around Native American communities throughout the state, allowing for different members to attend each quarterly meeting. Attendees can give meaningful feedback, ask specific questions and have direct communication with various health plan departments and Presbyterian Health Plan Native American Affairs.

Native American Consumer Advisory Board meetings will be hosted virtually using call-in or online services until further notice.

If you would like to attend or would like more details, please call Native American Affairs at

.

Such services are funded in part with the State of New Mexico.​​​​​​