Centennial Care is the old name. The managed-care program is Turquoise Care. Turquoise Care is New Mexico's Medicaid managed-care program, under the Health Care Authority. The four plans are Blue Cross Blue Shield of New Mexico, Molina Healthcare of New Mexico, Presbyterian Health Plan, and UnitedHealthcare Community Plan of New Mexico. Western Sky Community Care left the program on July 1, 2024. A Centennial Care payer setup is out of date.
Centennial Care is the old name. The managed-care program is Turquoise Care.
Turquoise Care is New Mexico's Medicaid managed-care program, under the Health Care Authority. The four plans are Blue Cross Blue Shield of New Mexico, Molina Healthcare of New Mexico, Presbyterian Health Plan, and UnitedHealthcare Community Plan of New Mexico. Western Sky Community Care left the program on July 1, 2024. A Centennial Care payer setup is out of date.
Medicare Part A and Part B for a New Mexico practice go to Novitas Solutions, Jurisdiction H, with Texas, Oklahoma, and Colorado. Arizona uses Noridian Jurisdiction F. The Medicaid line and the Medicare line both change at the Arizona border.
New Mexico is not a no-fault state. A work injury is billed to the employer's carrier under the Workers' Compensation Administration. It is not a Turquoise Care claim.
New Mexico is the page where an old payer name still causes denials. If the billing system says Centennial Care or Western Sky for a current member, the setup is wrong. The plan on the Turquoise Care card is the payer.
New Mexico renamed the managed-care program Turquoise Care on July 1, 2024. Western Sky is no longer a plan.
Blue Cross Blue Shield of New Mexico, Molina Healthcare of New Mexico, Presbyterian Health Plan, and UnitedHealthcare Community Plan of New Mexico.
The fee is a percentage of net collections. The written rate follows volume, specialty, and how much of the cycle you hand over. There is no setup fee, and the agreement is month to month. The state is not a surcharge. How pricing is set.
