MedicaidAdministrativeMedium impact
2024 July Network Connection
Presbyterian Health Plan·NM·Provider News
Effective date
Jul 1, 2024
We identified it
Jul 1, 2024
Summary
Presbyterian Insurance has rebranded New Mexico Medicaid Managed Care from 'Centennial Care' to 'Turquoise Care' effective July 1, 2024. Member ID numbers remain unchanged, but new ID cards will be mailed. New covered services (including chiropractic) are being added. The state regulatory body changed from New Mexico Human Services Department (HSD) to New Mexico Health Care Authority (HCA).
Action Required
By July 1, 2024: Billing team must update all Presbyterian Medicaid claim submissions to recognize the new 'Turquoise Care' plan name in system records and correspondence, though member ID numbers do not change. Verify that newly covered services (such as chiropractic care) are properly configured in the billing system with appropriate coverage rules. Update any internal documentation, templates, and payer contact information to reference the New Mexico Health Care Authority (HCA) instead of HSD. Inform front-desk and referral staff that members will receive new ID cards in the mail but do not need to take action to maintain coverage. Monitor for any authorization or claim submission changes from the HCA and update submission procedures accordingly.