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New Mexico Medicaid

Everyone in New Mexico deserves affordable health care that helps make your life easier. That’s why New Mexico Turquoise Care includes extras to support your health and daily life. New Mexico Turquoise Care covers adults, children, families, people with disabilities and pregnant women.

We have a large network of providers in New Mexico. This helps you choose doctors and specialists for your health care needs. Our goal is to connect you with the help you need right when you need it.

See why New Mexico chooses UnitedHealthcare

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Medicaid plans

New Mexico Turquoise Care

Turquoise Care is the name of New Mexico's Medicaid Managed Care program offered by UnitedHealthcare Community Plan. It’s for children, families, pregnant women and adults who meet income and other eligibility requirements. 

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New Mexico Long-Term Services and Supports (LTSS)

New Mexico Long Term Services and Supports (LTSS) is a health coverage program for New Mexico residents who meet requirements and are eligible for Medicaid.

LTSS is designed to:

  • Improve quality of life for members of any age who have functional limitations and/or chronic illnesses
  • Support members to live or work in the setting of their choice, including a person's home, worksite, provider-owned or controlled residential setting, a nursing facility, or other institutional setting
  • Provide in-home counseling sessions that focus on solving problems and becoming socially and physically active
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Dual Special Needs plans

Dual Special Needs plans (also called Dual Health plans or D-SNPs for short) are for people who have both Medicaid and Medicare. Dual plans cover most doctor visits, hospital stays and prescription drugs. They offer many extra benefits beyond those you get with either Original Medicare or Medicaid.
View all Dual Special Needs plans

Individual & Family ACA plans

UnitedHealthcare offers Individual & Family ACA plans in New Mexico. They’re designed to give you the coverage you need without breaking the bank.

Choose from plans in the Bronze, Silver and Gold metal levels. They each come with a variety of benefits, including reliable support from our customer service experts.

See Individual & Family ACA plans (Opens in a New Tab)

Eligibility and enrollment

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Eligibility:

New Mexico Turquoise Care (Medicaid)

Turquoise Care is the Medicaid Managed Care program for New Mexico, offered by UnitedHealthcare Community Plan.

Medicaid is a federal and state health insurance program. It helps people of all ages get quality health care. Medicaid helps support many groups including:

  • Children
  • Families
  • People with low-income
  • Children and adults with disabilities
  • Older adults
  • People diagnosed with substance use disorder

Enrollment:

Open enrollment is open all year which means you can change or keep your health plan from April 1 through May 31.

Steps to enroll

Benefits and features

Turquoise Rewards

Earn reward points when you complete certain health activities like:

  • An annual checkup with your doctor
  • Getting a flu shot
  • Completing health screenings
  • Keeping up-to-date on your child’s vaccines

Then use these points to shop for fun, healthy items in the catalog.

Visit Turquoise Rewards

One Pass

This is a fitness program for members ages 18 and older. We want you to have a fun experience while you get fit.

One Pass includes:

  • Unlimited access to visit local gyms, including the YMCA
  • Online workouts
  • Live virtual classes you can take from the comfort of your home
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Maternity support and baby care

We offer extra benefits and services to help you and your baby including: 

  • Car Seats 
  • Transportation 
  • Pregnancy and infant support 
  • Healthy First Steps® (HFS) 
  • BabyScripts 
  • Doula and breastfeeding support 
  • Well-child visits 
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Behavioral Health services

Behavioral Health screenings are done as needed for diagnosis and treatment. We cover:

  • Individual, group, and family therapy
  • Outpatient and inpatient behavioral health services
  • Inpatient behavioral health services
  • Specialized behavioral health services for children with autism

Find the balance, support, and care you need for a healthy life. Talk to your doctor or call Member Services at 1-877-236-0826, TTY 711.

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Transportation

Benefits include round trip transportation to:

  • Doctor and pharmacy visits
  • Food banks and pantries
  • Women, Infants and Children (WIC) appointments
  • Medicaid eligibility meetings
  • Birthing classes

You may also qualify for a bus pass or mileage reimbursement for friends and family.

Call Member Services at 1-877-236-0826, TTY 711 to schedule a ride or ask questions about getting transportation services.

Traditional healing and alternative treatments

Your yearly reimbursement of $300 for Traditional Healing services includes but is not limited to:

  • Native American Healing and Ceremonies
  • Curandismo Healing

Your provider will need to submit a form to get a reimbursement. Forms can be requested by calling Member Services at 1-877-236-0826, TTY 711.

Health Talk member newsletter

Our HealthTalk newsletter is now online. The newsletters are a great way to learn about our health plan and important health topics.

You can read it whenever, wherever you want. Check back quarterly for a new edition.


Disclaimer information

(scroll within this box to view)

Looking for the federal government’s Medicaid website? Look here at Medicaid.gov.

UnitedHealthcare Dual Complete plans

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is available to anyone who has both Medical Assistance from the State and Medicare. Benefits, features and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.

Premium disclaimer

Dual Special Needs plans have a $0 premium for members with Extra Help (Low Income Subsidy).

Benefit disclaimer

Benefits, features, and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply.

Nurse Hotline disclaimer

This service should not be used for emergency or urgent care needs. In an emergency, call 911 or go to the nearest emergency room. The information provided through this service is for informational purposes only. The nurses cannot diagnose problems or recommend treatment and are not a substitute for your provider's care. Your health information is kept confidential in accordance with the law. The service is not an insurance program and may be discontinued at any time. Nurse Hotline not for use in emergencies, for informational purposes only.

Star ratings disclaimer

Every year, Medicare evaluates plans based on a 5-Star rating system. The 5-Star rating applies to plan year 2025.

Formularies

The formulary, pharmacy network and provider network may change at any time. You will receive notice when necessary.

Important provider information

The choice is yours

We will provide you with information to help you make informed choices, such as physicians' and health care professionals' credentials. This information, however, is not an endorsement of a particular physician or health care professional's suitability for your needs.

The providers available through this application may not necessarily reflect the full extent of UnitedHealthcare's network of contracted providers. There may be providers or certain specialties that are not included in this application that are part of our network. If you don't find the provider you are searching for, you may contact the provider directly to verify participation status with UnitedHealthcare's network, or contact Customer Care at the toll-free number shown on your UnitedHealthcare ID card. We also recommend that, prior to seeing any physician, including any specialists, you call the physician's office to verify their participation status and availability.

Some network providers may have been added or removed from our network after this directory was updated. We do not guarantee that each provider is still accepting new members.

Out-of-network/non-contracted providers are under no obligation to treat UnitedHealthcare plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost- sharing that applies to out-of-network services.

American Disabilities Act notice

In accordance with the requirements of the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 ("ADA"), UnitedHealthcare Insurance Company provides full and equal access to covered services and does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities.

Referrals

Network providers help you and your covered family members get the care needed. Access to specialists may be coordinated by your primary care physician.

Paper directory requests

Paper copies of the network provider directory are available at no cost to members by calling the customer service number on the back of your ID card. Non-members may download and print search results from the online directory.

Declaration of disaster or emergency

If you’re affected by a disaster or emergency declaration by the President or a governor, or an announcement of a public health emergency by the Secretary of Health and Human Services, there is certain additional support available to you.

  • Part A, Part B, and supplemental Part C plan benefits are to be provided at specified non-contracted facilities (note that Part A and Part B benefits must be obtained at Medicare certified facilities);
  • Where applicable, requirements for gatekeeper referrals are waived in full;
  • Plan-approved out-of-network cost-sharing to network cost-sharing amounts are temporarily reduced; and
  • The 30-day notification requirement to members is waived, as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the member.

If CMS hasn’t provided an end date for the disaster or emergency, plans will resume normal operation 30 days after the initial declaration.