Medicaid

The RRB’s primary function is to administer comprehensive retirement-survivor and unemployment-sickness benefit programs for the nation’s railroad workers and their families, under the Railroad Retirement and Railroad Unemployment Insurance Acts. As part of the retirement program, the RRB also has administrative responsibilities under the Social Security Act for certain benefit payments and railroad workers’ Medicare coverage.

Medicare is health insurance for individuals who are age 65 and older, as well as certain younger people with disabilities, permanent kidney failure, or Lou Gehrig’s disease. Typically Medicare covers some, but not all medical and long-term care costs. There are often co-pays and premiums required.

Medicare.gov Live Chat is available 24 hours a day, 7 days a week, except for some federal holidays.

The mission of the Income Support Division (ISD) is to relieve, minimize or eliminate poverty and to make available certain services for eligible low-income individuals and families through statewide programs of financial assistance, food assistance, employment assistance, and training services.

We are a Trauma Informed Agency whose main focus is to help Victims of Domestic Violence break the cycle of abuse in their lives. Each department, Advocacy, Case Management & Counseling are all here to provide resources, help, guidance and support to help victims get safe, become independent and heal. Our goal is to help a victim break the cycle of violence and heal in order to have healthy relationships in their future. DVRC, Inc. is here to Empower Victims of Domestic Violence and Engage the Community to End the Cycle of Domestic Violence through Education and Prevention. We work with multiple community organizations to help provide resources, legal help, financial resources and help in order to get a victim safe & work with them to rebuild their life after domestic violence.

The Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit provides comprehensive and preventive health care services for children under age 21 who are enrolled in Medicaid. EPSDT is key to ensuring that children and adolescents receive appropriate preventive, dental, mental health, and developmental, and specialty services.

EPSDT pamphlet guide:
https://www.medicaid.gov/sites/default/files/2019-12/epsdt_coverage_guide.pdf

The New Mexico Independent Consumer Support System (NMICSS) connects resources from all across the state to help Medicaid Centennial Care participants who need long-term services and supports (LTSS). The NMICSS provides information and referral tools to Centennial Care recipients, as well as their advocates and counselors, to help them choose the right Managed Care Organization.

Mi Via, which means “my path”, “my way” or “my road”, is designed to assist you in managing your own services and supports to live your best life. Mi Via is about choosing self-direction over your home and community-based services, support and goods within your approved plan and budget. The Mi Via Waiver program provides an array of living supports (for adults only), community membership supports, health and wellness supports and other related supports and goods.

Services include Consultant/Support Guide Services, Personal Plan Facilitation, Community Membership Supports, Living Supports, Health and Wellness Services, Other Related Goods and Supports, and Services for Children.

Elderly Service. Provides home health care, respite, short and long-term care in Curry, Chaves, Lincoln, and Quay counties.

Services: Using Equine movement as part of Speech Therapy and Occupational Therapy, aka Hippotherapy

Insurances Accepted: Presbyterian, Blue Cross/Blue Shield, Molina, and Centennial Care/Medicaid MCOs: Presbyterian, Blue Cross/Blue Shield, and Molina

Other: Facility therapy dog also a treatment option

Using Equine movement as part of Occupational Therapy and Physical Therapy, aka Hippotherapy

Eligibility/Ages: 3 years to adulthood; Initial screening to determine eligibility

Insurance Accepted: Presbyterian, DD Waiver, Mi Via Waiver, Private Pay, and Centennial Care/Medicaid MCO: Presbyterian

Me Town provides Mi Via Waiver and Medicaid Self-Directed Community Benefit services.

Los Amigos provides Brain Injury Coordination, Mi Via Waiver, Centennial Self Directed, and Supports Waiver services.

Excel's case management services are limited to DD waiver program participants.

We contract with the state of New Mexico to provide service coordination through the Developmental Disabilities Medicaid Waiver (DD Waiver).

Support clientele by providing education, advocating, and coordinating services through a variety of programs.

Primary Programs:
To provide case management services to individuals in San Juan County through the Developmental Disabilities Medicaid Waiver, disabled and Elderly Medicaid Waiver, and the Traumatic Brain Injury program.

Western Sky Community Care is a Managed Care Organization and subsidiary of Centene Corporation (Centene). Western Sky Community Care exists to improve the health of its beneficiaries through focused, compassionate and coordinated care. Our approach is based on the core belief that quality healthcare is best delivered locally.

To contact the Ombudsman by phone or email:
844-225-6672, or ombudsman@westernskycommunitycare.com

Presbyterian Centennial Care gives you the basic benefits you need, plus extra value-added benefits. It is funded in part under a contract with the State of New Mexico. The plan includes physical health, behavioral health, and long-term care services.

To contact the Ombudsman by phone or email:
505-923-5780, or ombudsman@phs.org

ExplorAbilities provides Orthopedic and Sports Physical Therapy to adults and children of all ages and Developmental Rehabilitation services,
such as physical therapy, occupational therapy, and speech-language therapy to children birth to age 21. ExplorAbilities is a Medicare Certified
facility and is licensed by the NM Dept. of Health.

The ADRC is here to assist elders, persons with disabilities and caregivers to find services and resources to help them live well and independently.

Information & Assistance (I&A)
Long-Term Options Counseling
Benefits Counseling
Healthcare Options
Centennial Care Medicaid Waiver for Home & Community-Based Services
(Our ADRC handles registry for the state Medicaid waiver.)
Health Care Fraud Prevention
Prescription Drug Assistance (PDA)
Community Information & Educational Presentation
New Mexico Social Services Resource Directory

Since 1957, ARCA has provided opportunities for individuals with intellectual, developmental, and cognitive disabilities to enjoy great lives. ARCA is a private not-for-profit organization opening doors for over 700 children and adults with intellectual, developmental, and cognitive disabilities to live great lives. Since 1957, our services continue in the spirit of our founding Albuquerque families. We provide customized opportunities for individuals with intellectual, developmental, and cognitive disabilities to live, work and enjoy rich recreational experiences in valued community roles.

Services include Acquired Brain Injury Services, Independent Living, Supported Living, Family Living, InterCare Living, Meaningful day Program, Supported Employment, ARCA Janitorial Services, La Paloma Greenhouse, SMART Living Program, Health Services, Health Promotion Initiatives, Foster Care, Prader-Willi Syndrome Project, and Respite.

Govbenefits.com is a free confidential prescreening tool for state and federal government programs. Search for benefits you may be able to receive.

Internet resource, State and Federal resources
Partners with USA.gov

Provides health insurance for Americans age 65 and older, people under age 65 with certain disabilities, and people of all ages with end stage renal disease (permanent kidney failure requiring dialysis or a kidney transplant).

• Medicare