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Home|Providers|Our Networks|Presbyterian Health Plan

Become a Health Plan Provider

One of the most important aspects of a health plan is the provider network offered to its members. Our provider network includes more than 17,000 providers and facilities in more than 500 locations in New Mexico and border communities. This includes more than 2,200 primary care providers and 6,300 specialists. The resources on this page offer information about contracting to become part of our Commercial, Medicaid, and Medicare networks.

Centennial Care

Presbyterian is continually looking to create new partnerships that will ensure that members have access to all covered services under Centennial Care. Centennial Care is New Mexico’s Medicaid program that offers a unique care coordination aspect to connect members with the right care, at the right place and time.

Centennial Care Resources

 

Apply to become a contracted Centennial Care provider

Commercial Network

Presbyterian offers a portfolio of products for employers, including Health Maintenance Organization (HMO), Point-of-Service (POS), and Administrative Service Only (ASO) products. Presbyterian Insurance Company, Inc. offers a Preferred Provider Organization (PPO) product for groups and individuals.

Apply to become a contracted Commercial provider

Medicare Advantage Network

Presbyterian Senior Care (HMO), Presbyterian Senior Care (HMO-POS), and Presbyterian MediCare PPO have plans available that include Medicare Part D prescription drug coverage. Presbyterian Senior Care (HMO) is the highest rated HMO plan in New Mexico as we earned a 4.5-Star Rating (out of 5) from the Centers for Medicare & Medicaid Services.

Presbyterian Senior Care (HMO), Presbyterian Senior Care (HMO-POS), and Presbyterian MediCare PPO are designed to meet the special healthcare and financial needs of Medicare beneficiaries. The Presbyterian Senior Care (HMO-POS) is only offered to employer groups.

Apply to become a contracted Commercial or Medicare Advantage provider