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Frequently Asked Questions

What is Centennial Care?

Centennial Care is the name of the New Mexico Medicaid program. Centennial Care will begin January 1, 2019, offering services to children, pregnant women, families with children, elderly, adults with disabilities and children with disabilities. Services will be provided by three (3) managed care organizations (MCOs). Western Sky Community Care is one of the MCOs providing services for Centennial Care.

What is a Managed Care Organization (MCO)?

A managed care organization (MCO) is an insurance company that contracts with providers and medical facilities to provide health care services to its members.

What services are covered under Centennial Care?

Centennial Care services include physical health, behavioral health, long-term care, and community benefits.

Who may be eligible for Centennial Care?

Most people who are currently enrolled in a New Mexico Medicaid program will be eligible for Centennial Care. For all Medicaid programs, you have to meet certain federal guidelines. These include citizenship, residency and income requirements. For more information on Centennial Care, please visit the Centennial Care web site.

Do I have to pay to be enrolled in Centennial Care?

No. There is no cost to enroll in Centennial Care. Some members may pay minimal copayments for doctor visits, emergency room care and prescriptions.

How do apply for Centennial Care?

You can apply for Centennial Care services in several ways.

By Phone:

Online:

Mail:

  • Download a paper application from the Yes New Mexico Portal, complete it, and mail it to: 
    Central ASPEN Scanning Area
    PO Box 830
    Bernalillo, NM, 87004

How do I choose a Centennial Care MCO?

Beginning in October 2018, you can call the New Mexico Human Services Department (HSD) at 1-888-997-2583 to choose a Centennial Care MCO.

You can also make a selection online at the Yes New Mexico Portal.

If I have both Medicare and Medicaid, will I have to change my Medicare plan as part of Centennial Care?

No. Your Medicare services and doctors will stay the same. Only your Medicaid coverage will be through Centennial Care. It’s the responsibility of your Centennial Care managed care organization (MCO) to make sure that they coordinate your services with your Medicare PCP.

How do I know if my doctors are contracted with a Centennial Care MCO?

Ask your doctors if they are contracted with Western Sky Community Care.

You can check the Find A Doctor webpage on our website to view our online provider directory or our Provider Directory.

If you have questions about our doctors, contact Western Sky Community Care Member Services at 1-844-543-8996 (TTY: 711).

Can I change my primary care provider (PCP)?

Yes. You can change your PCP at any time.

I need to see a specialist, what do I need to do?

Your PCP must request a referral for you to see a specialist. If you would like additional information, you may contact Western Sky Community Care Member Services at 1-844-543-8996 (TTY: 711).

What is a Community Benefit?

The “Community Benefit” is the name given to a set of services that help to keep people in their homes and communities. Some of these services include adult day health, respite care, and personal care services.