Skip to main content
Main Content

We are here for you, New Mexico

Your health insurance should help make your life a little easier. That’s why Unitedhealthcare Community Plan's New Mexico Turquoise Care includes extras for your health and everyday life.

Helping people is at the heart of all we do

Everyone in New Mexico deserves affordable health care. New Mexico Turquoise Care covers adults, children, families, people with disabilities and pregnant women. UnitedHealthcare has services and extras that can make a real difference. Connecting people with what they need, when they need it most. Our goal is to connect the people with the help they need, when they need it the most.

We offer one of the largest provider networks in New Mexico. That can help you to choose the doctors and specialists that fit your health care needs. 

Plans and how to enroll

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 incomes
  • Children and adults with disabilities
  • Older adults
  • People diagnosed with substance use disorder

Long Term Services and Supports (LTSS)

LTSS is designed to improve the quality of life for members of any age who have functional limitations and/or chronic illnesses. Many people who are in this situation want to live independently at home. Our Turquoise Care LTSS plan makes that easier. It offers extra support services such as:

  • In-home personal care to help with daily activities
  • Adult day centers for social activities
  • Support with housing, getting food, going to the store or feeling safe
  • Respite support for family members or friends who help with care

How to enroll

To be eligible for New Mexico Medicaid coverage, you must be a resident of the state of New Mexico, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income. 

You must also be one of the following: 

  • Pregnant
  • Responsible for a child 18 years of age or younger
  • Blind
  • Disabled or living with a disabled family member
  • 65 years of age or older

To check your eligibility and enroll:

Online: Visit the YES New Mexico

By phone: Call: 1-855-637-6574 

By mail: Send your signed application to:  

Central ASPEN Scanning Area (CASA)
PO Box 830
Bernalillo, NM 87004

By fax: Send your signed application to: 1-855-804-8960 

If you need help

Our New Mexico Turquoise Care plan specialists can answer your questions. We can also assist with interpreter services. To ask for help, please call 1-877-236-0826, TTY 711, Monday through Friday, 8 am to 5 pm MT.

Our Member Services Advocates speak multiple languages (170+), so when you call they will be able to help you or connect you with our interpreter service.

If you have trouble hearing over the phone you can use a text telephone. This free service allows persons with hearing or speech disabilities to place and receive telephone calls. Call 711, give them the Member Services number, 1-877-236-0826, Monday through Friday, 8 am to 5 pm MT, and they will connect you.

Member information

Handbooks and member resources

Read the handbook, look up network providers, find covered drugs and learn more about what our plans offer.

If you do not see a provider or drug listed, check back or call Member Services. 1-888-604-2575, TTY 711, Monday to Friday from 8 a.m. to 5 p.m., local time.

Information is available in large print, Braille or audio tapes. 

Extra benefits

We offer additional benefits to help you live a healthier life, such as:

  • 24/7 Virtual Visits
  • Eldercare
  • Member rewards
  • Emergency funds
  • Scholarships toward earning certificates, degrees or workforce programs
  • Enhanced transportation coverage (more rides to more places)
  • Maternity support, including doula care
  • School-based health clinics
  • One Pass fitness benefit
  • Behavioral health services
  • Enhanced dental and vision benefits
  • Chiropractic services
  • Acupuncture 
  • Peer support specialists with youth in foster care
  • And many more

Contact us

  • Member Services, call toll-free 1-877-236-0826 (TTY 711), Monday to Friday, 8am to 5pm, local time
  • Health questions? 
  • Sign in to our member portal and chat with us

Language help and interpreter services

Many on our Member Service team speak several languages. We also have an interpreter service, which supports more than 240 languages over the phone. We also support American Sign Language.

  • If you have trouble hearing or speaking on the phone, use our text telephone (TTY) service at 711 or call 1-877-236-0826 to connect with us.

Programs

Turquoise Rewards

Turquoise Rewards allows members to earn points for completing certain health activities. You can use your reward points to shop for hundreds of fun, healthy items in the Turquoise Rewards catalog.

For example, you can earn reward points for:

  • Attending an annual checkup with your primary care provider
  • Getting a flu shot
  • Completing health screenings, like a mammogram, cervical cancer screening, and others
  • Keeping up to date on your children’s immunizations

Visit turquoiserewards.com to see all the eligible activities.

One Pass

This fitness program for members 18 and up, provides unlimited access to many local gyms, including the YMCA. Change locations at any time, or explore workout plans and join classes online.

One Pass makes fitness fun and flexible. Members can:

  • Visit many local gyms including the YMCA
  • Change locations at any time
  • Explore workout plans online
  • Join live classes virtually, from the comfort of home
  • Have fun while getting fit

Maternity support and baby care

  • Car Seats -- Pregnant members can get a car seat for safe infant travel (limit 1 car seat per baby).
  • Transportation -- We cover trips to medical appointments, WIC appointments and more
  • Pregnancy and infant support -- Our maternal child health team will help you learn what to expect when you see your doctor and how to take care of your changing body. We will help you learn about: 
    • Local resources
    • Nutrition, weight, and well-being
    • Fitness
    • Sexual health
    • Substance abuse
    • Domestic violence
  • Healthy First Steps® (HFS) -- This specialized case management program is designed to provide assistance to all pregnant members and those experiencing an uncomplicated pregnancy. It also helps manage medical, behavioral and social risks.
  • BabyScripts -- An education and reward program for pregnant members and new parents 
  • Doula and breastfeeding support -- We offer in person and virtual support. Doula services offer care and guidance to moms during and after pregnancy.
  • Well-child visits – Provide screenings, like speech and hearing tests, and immunizations. These routine visits are also a great time for you to ask any questions you have about your child’s behavior and overall well-being. 
  • Wellhop -- Helps expectant moms connect with others through online chat and group videos. 

Behavioral health and substance use

If you are currently receiving behavioral health services, please let your UnitedHealthcare Community Plan Care Coordinator know. It is important for them to be aware of all the services you are receiving or need.

Also, please let your behavioral health provider know that you are enrolled in UnitedHealthcare Community Plan’s Turquoise Care program. They may have questions about the services you are receiving through Turquoise Care and how we can work together to help you get the care you need.

Behavioral Health services

Behavioral Health screenings are performed as medically necessary for diagnosis and treatment. We cover:

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

Substance use disorder services

Substance use disorder services are performed as medically necessary for diagnosis and treatment. We cover:

  • Outpatient opioid (pain medication) treatment
  • Residential treatment
  • Targeted case management

Visit https://member.uhc.com/communityplanfor addtional resources. Find the balance, support, and care you need to live the healthiest life possible.
If you believe you need access to behavioral health services, talk with your PCP or call Member Services for help.

SeniorLink

SeniorLink is a program for unpaid and family caregivers. The goal is to make sure caregivers have the tools and resources they need to succeed. Caregivers complete an assessment of their knowledge and skills. SeniorLink compares this assessment with the member’s health needs and challenges. Then SeniorLink builds a care plan that will allow each member to live safely at home.

Community benefit

Community Benefit is the home and community-based services (HCBS) benefit package from Turquoise Care. These services allow eligible members to receive care in their home or community as an alternative to being placed in a long-term care facility. They are intended to supplement natural supports and support community living reducing unnecessary nursing home admissions.

Eligibility

To qualify for this benefit, you must:

  • Have a full Medicaid category of eligibility or approved waiver
  • Meet nursing facility level-of-care criteria
  • Be a resident of New Mexico

On My Way (OMW)

OMW helps prepare youth members for living on their own. Things like finding housing, getting a job and managing money. OMW teaches important life skills to help:

  • Set and achieve personal goals
  • Manage money
  • Find housing
  • Create a resume
  • Get a job
  • Apply for college

Nurse hotline

Members who have questions about their health have access to a nurse 24 hours a day, 7 days a week by calling a hotline. 

Our nurses will:

  • Listen to your symptoms
  • Help with self-care
  • Advise if you can get care at your next doctor visit or need urgent care
  • Help you know when it is time to go to the emergency room

Rides and transportation

Benefits include assistance with transportation. We cover round trips to:

  • Medical appointments
  • Food banks and pantries
  • Pharmacy visits
  • Women, Infants and Children (WIC) appointments
  • Medicaid eligibility appointments
  • Birthing classes
  • Places of worship
  • Grocery stores
  • Job-related activities
  • Support group meetings

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

Call Member Services to schedule a ride or ask questions about getting transportation services.

Traditional healing and Alternative treatments

Reimbursement to member or healer for Traditional Healing services performed are covered. Benefits include:

$300 per year for Traditional healing services. This benefit 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. For hearing impaired: TTY 711.

Advance directives

Advance directives

An advance directive is a set of written steps you want taken when you are too sick to make decisions about your health care. It says what you want or do not want.

You should talk about your wishes with your provider, family and friends. 

What are advance health care directives? 

By State of New Mexico and federal law, you have the right to make an advance directive. This document lets you say exactly how you wish to be treated if you are too sick to make health care decisions. An advance directive will help your doctor and family make choices about your health care. You can also name someone to make your health care decisions. That person, called a surrogate or an agent, has the right to refuse or stop treatment for you in some cases.

An advance health directive may also be called, mental health advance directive, psychiatric advance directive or PAD, living will, durable health care power of attorney and/or durable mental health care power of attorney. 

UnitedHealthcare Community Plan polcy is to inform members that they can create advance health care directives. State and federal laws require hospitals, nursing homes, and other providers to tell you about advance directives and explain your legal choices about medical decisions. These laws are intended to ensure that your wishes are taken into account when you may not be able to express them. 

UnitedHealthcare Community Plan follows the regulations in the Mental Health Care Treatment Decisions Act [24-7B-1 NMSA 1978] and the federal regulation 42 CFR 489 subpart I and 42 CFR 422.128. 

How do I get an advance directive? 

Contact Member Services or your Care Coordinator at 1-877-236-0826. If you are speech or hearing impaired, call TTY 711. 

You can also call the State of New Mexico Aging and Disability Resource Center at 1-800-432-2080.


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.

UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid plan)

UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid plan) is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees. 

UnitedHealthcare Connected® (Medicare-Medicaid plan)

UnitedHealthcare Connected® (Medicare-Medicaid plan) is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees.

UnitedHealthcare Connected® for One Care (Medicare-Medicaid plan)

UnitedHealthcare Connected® for One Care (Medicare-Medicaid plan) is a health plan that contracts with both Medicare and MassHealth (Medicaid) to provide benefits of both programs to enrollees. 

UnitedHealthcare Connected® general benefit disclaimer

This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the member handbook. Limitations, copays and restrictions may apply. For more information, call UnitedHealthcare Connected® Member Services or read the UnitedHealthcare Connected® member handbook. 

UnitedHealthcare Senior Care Options (HMO SNP) plan

UnitedHealthcare Senior Care Options (SCO) is a Coordinated Care plan with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is a voluntary program that is available to anyone 65 and older who qualifies for MassHealth Standard and Original Medicare and does not have any other comprehensive health Insurance, except Medicare. If you have MassHealth Standard, but you do not qualify for Original Medicare, you may still be eligible to enroll in our MassHealth Senior Care Option plan and receive all of your MassHealth benefits through our Senior Care Options (SCO) program.

Star ratings disclaimer

Every year, Medicare evaluates plans based on a 5-Star rating system. The 5-Star rating applies to plan year 2024.

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.

Inaccurate information

To report incorrect information, email provider_directory_invalid_issues@uhc.com. This email box is for members to report potential inaccuracies for demographic (address, phone, etc.) information in the online or paper directories. Reporting issues via this mail box will result in an outreach to the provider’s office to verify all directory demographic data, which can take approximately 30 days. Individuals can also report potential inaccuracies via phone. UnitedHealthcare Members should call the number on the back of their ID card, and non-UnitedHealthcare members can call 1-888-638-6613 / TTY 711, or use your preferred relay service.

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.