Turquoise Care for Native Americans

Welcome to Presbyterian Turquoise Care! Thank you for choosing Presbyterian Health Plan as your Medicaid Managed Care Organization (MCO).

Turquoise Care is New Mexico’s Medicaid Program. Presbyterian Health Plan is a Managed Care Organization (MCO) that partners with the State of New Mexico to provide Medicaid services and help manage your healthcare needs. We help guide you through your Turquoise 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 Turquoise Care is committed to improving the health of Native American members, patients, and communities we serve. Presbyterian Health Plan also has a 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 Turquoise Care when you complete the Medicaid application.

Presbyterian Turquoise Care provides the health plan coverage you need.

What does Medicaid cover?

Presbyterian Turquoise Care Medicaid Covered Benefits

Presbyterian Turquoise Care gives you all the care you need. The plan covers the following:

• 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 people 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.

• Traditional Medicine Value Added Service - We know that Traditional customs are an important part of health and wellness to Native American people. We want to honor and support Native 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 value-added service is only available to Native American Turquoise Care members and is to be used for traditional medicine or ceremonial purposes only. You can apply online using the links below. You can also download/print the application form here. You can mail or fax fully completed applications. All instructions are on the application form. It will take five to six weeks to process applications. You can call the Presbyterian Customer Service Center at 505-923-5200 or 1-888-977-2333 for help or to check the status of an application. Use the links below to apply for this service.

• Pregnancy Passport New Parent Program

  • Rewards you for going to prenatal and postpartum visits.

  • Earn gift cards and rewards for going to your prenatal and postpartum doctor visits.

• Baby Bonuses Well-Baby Program

  • Rewards you for taking your baby to their well-child visits.

  • Earn gift card rewards for taking your baby (0-30 months of age) to their routine doctor visits

Learn more about the Pregnancy and Well-Baby Program

• Wellness Classes

  • Statewide community and online wellness classes for members with diabetes and/or asthma.

  • Gift card reward to take part in and complete a class.

• 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 food insecurity.

  • Meals may be provided to the member and a natural support/caregiver as needed.

  • Meals may be provided for up to two weeks.

• Sports Physicals

  • For children 12-18 years of age to take part in sports and completion of needed forms.

  • Limited physical exam that is not the same as a routine well-child exam or regular physical.

Native American Member Advisory Board (NAMAB)

Presbyterian Native American Affairs hosts quarterly Native American Member Advisory Board (NAMAB) meetings to help us better serve Native American members and communities. These meetings are a great way for members to learn about services and benefits they can use as a Turquoise Care member. The meetings move around to different Native American communities throughout the state so every member can attend. Attendees can give meaningful feedback, ask specific questions and speak with various health plan departments and the Presbyterian Health Plan Native American team directly.

If you would like to attend or would like more details about the Native American Member Advisory meeting, please call Native American Affairs at 505-228-1191.

For questions about Traditional Medicine Value Added Service Applications, please call the Presbyterian Customer Service Center at 505-923-5200 or 1-888-977-2333.