Low income New Mexican retirees worried about senior care in Albuquerque can put their minds at ease. The Medicaid program offered in the state covers a great deal of care and services. The Medicaid program covers 69 percent of nursing home residents in the state, not counting special coverage for residents with in-home care or adult day centers.
New Mexico’s Medicaid program for seniors is for residents that are age 65 or older, blind, or disabled. Albuquerque residents with an income up to 138 percent of the poverty line may qualify. Enrollment in the program is up 57 percent since 2013.
In 2014, New Mexico’s Medicaid program changed its name to Centennial Care and now includes four managed care organizations (MCOs). These MCOs cover physical health, mental health, long-term care, and community care benefits. The Centennial Care website is the easiest way to apply for the Medicaid program. If you apply at HealthCare.gov, the application will be forwarded to Centennial Care.
If you prefer, you can download a paper application and mail the completed copy with documentation to the Central ASPEN Scanning Area, P.O. Box 830, Bernalillo, NM 87004.
If you would rather apply in person at the Bernalillo County office, you can find one local to you as the county houses five separate offices. All offices are only open Monday through Friday.
4330 Cutler Ave. NE; phone (505)222-9200 3280 Bridge Blvd. SW; phone (505)841-2300 1041 Lamberton Place NE; phone (505)841-7700 1711 Randolph Road SE; phone (505)383-2600
The office may request your social security card, list of assets, proof of citizenship, bank statements, and proof of income. After your application is approved, a medical identification card is issued. You will need to renew coverage every 12 months and report any changes in your income, residence, or household size.
Centennial Care covers services through its MCOs. It offers Home and Community Based Waivers for in-home care, respite care, adult day centers, equipment, supplies, and nurse visits. Doctor visits, lab services, nursing home care, hospital stays, emergency room visits, some vision and dental, and prescription drugs are covered under basic coverage.
The Program of All-Inclusive Care for the Elderly (PACE) provides you or your loved one with long-term care in a skilled nursing facility or at home with interdisciplinary care.
United Healthcare, one of the MCOs for New Mexico Medicaid, provides transportation to Albuquerque seniors needing a ride to and from the doctor and pharmacy. You can speak with a representative about mileage reimbursement if you want to use your vehicle for medical visits. The other MCOs include Molina Healthcare, Blue Cross and Blue Shield, and Presbyterian Health Plan cover similar services.
Each MCO that offers transportation should provide you with the phone number for the transportation broker or reservation line. These vehicles may be in the form of a taxi, van, or public transportation. If you must travel out of state or a long distance in-state for a medically necessary appointment, let the transportation service know as soon as possible to approve prior authorization.
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