Complex Care

Provide Feedback

Programs that provide multi-disciplinary care of children and youth with complex chronic conditions (aka children with medical complexity, CMC), technology dependencies, multiple subspecialists, and frequent hospitalizations. Services includes complex care coordination, co-management with specialists, and education and advocacy.

Service Legend
Local Service
Statewide Service: Provides online resources, telehealth, or service at a satellite office.
Nationwide Service: Provides online resources, telehealth or services at a regional/national headquarters location.
2211 Lomas Blvd. NE
Albuquerque, NM 87106
Phone: 505-272-2111
Organization Name: University of New Mexico (UNM) Health System
(Show others in Organization)
Address:
2211 Lomas Blvd. NE
Albuquerque, NM 87106
Phone: 505-272-2111
Services Provided:

The University of New Mexico Health System provides a wide range of services. UNM Health is recognized as New Mexico's sole Level I Trauma Center and its only children's hospital. The one and only children's hospital in New Mexico provides disease prevention and specialized treatments for children. They provide care not just for the child's physical well-being but also for their behavioral needs. Interpreters are available to families at any time. UNM Health also has a cancer center, a bariatric surgery center, a stroke center, chronic pain management solutions, women's health for all stages of life, 24/7 mental health care, and orthopedics, among other specialties. (*Note: please see website for a more in-depth list of services provided within separate departments; see additional contact information to set up your appointment: https://unmhealth.org/services/)

Source: University of New Mexico, Center for Development and Disability
Last Updated: 12/1/2022
2724 Vassar Place NE
Albuquerque, NM 87107
Phone: 505-910-7339
Address:
2724 Vassar Place NE
Albuquerque, NM 87107
Phone: 505-910-7339
Fax: 833-989-2403
Services Provided:

Pediatric Specialty Care for Children and Youth with Special Health Care Needs, Developmental Disabilities, and Medical Complexity. Provides a nurturing and supportive environment to care for children (birth to 21 years old) with Special Needs, Developmental Disabilities and/or Complex Care in Albuquerque and throughout New Mexico. Appointments in clinic for 20-60 minutes as needed New Patient Appointments 60 minutes. Consulting and Referrals made, ordering tests, and order blood work as needed. Telephone/Telehealth appointments offered. Patients will need to stay with their Primary Care Providers for sick care, emergencies, immunizations, after hours care, etc.

Source: University of New Mexico, Center for Development and Disability
Last Updated: 9/28/2022
Statewide Provider
915 Camino de Salud NE
Albuquerque, NM 87106
Phone: 505-272-2321
Statewide Provider
Organization Name: University of New Mexico (UNM) School of Medicine
(Show others in Organization)
Address:
915 Camino de Salud NE
Albuquerque, NM 87106
Phone: 505-272-2321
Services Provided:

The Transdisciplinary Evaluation & Support Clinic (TEASC) provides free in-home services for New Mexicans ages 18 and older with developmental or intellectual disabilities. Clients or their families can request a TEASC consultation. Providers or advocates can also request a referral. Specialized TEASC providers can do in-home visits or see the patient in a UNM Family Practice or community clinic. TEASC offers a range of medical and mental health care services, as well as help with support system needs. They are funded by the New Mexico Department of Health/Developmental Disabilities Supports Division.

Source: University of New Mexico, Center for Development and Disability
Last Updated: 12/1/2022
Statewide Provider
2040 South Pacheco
Santa Fe, NM 87505
Statewide Provider
Organization Name: New Mexico Department of Health (NMDOH)
(Show others in Organization)
Address:
2040 South Pacheco
Santa Fe, NM 87505
Toll Free Phone: 877-890-4692
Eligibility:

Residents of New Mexico, anyone under age 21 is eligible if diagnosed with chronic medical conditions or disabilities that require surgical or medical treatment or limit activities. For CMS payment/coverage, there are also financial guidelines.

These conditions are automatically qualifying:

  • Cancer
  • Cardiac Disease
  • Cerebral Palsy
  • Cleft Lip & Palate
  • Cystic Fibrosis
  • Diabetes
  • Epilepsy with Seizure Medications
  • Juvenile Rheumatoid Arthritis
  • Lupus
  • Renal Failure
  • Spina Bifida

Adults are eligible if they have genetic/metabolic or cystic fibrosis who are eligible for lifelong services.

Services Provided:

CMS offers medical services through multidisciplinary pediatric specialty clinics, private providers and public agencies. Diagnostic medical services, information and referral, case management and pre-school developmental evaluations are also available, regardless of income.

Service Include:

  • Medical Management- may include payment for diagnostic services, hospitalizations, physician’s services, and some therapies.
  • Multidisciplinary Pediatric Specialty Clinics- including asthma, cleft palate, genetic, metabolic, nephrology, neurology, and endocrinology clinics
  • Care Coordination
  • Transition Planning for Youth with Special Health Care needs
    Newborn Genetic Screening and Follow-up & Newborn Hearing Screening and Follow-up
Source: Medical Home Portal- New Mexico
Last Updated: 12/1/2022
Statewide Provider
2300 Menaul Blvd NE
Albuquerque, NM 87107
Phone: 505-272-2910
Statewide Provider
Organization Name: University of New Mexico (UNM), Center for Development and Disability (CDD)
(Show others in Organization)
Address:
2300 Menaul Blvd NE
Albuquerque, NM 87107
Phone: 505-272-2910
Fax: 505-272-8100
Email: cbarden@salud.unm.edu
Services Provided:

The UNM CDD Medically Fragile Case Management Program (MFCMP) has offered registered nurse case management/service coordination services statewide for children who are medically fragile and their families since 1985. In New Mexico, medically fragile children are identified as children who have a high level of dependence on medical technology such as ventilators, tracheostomies, oxygen, feeding tubes, dialysis and intravenous medication and require total care for all their daily needs. The case managers at MFCMP use a family-centered approach to care and are advocates, informational sources, facilitators and paperwork coordinators for families. Case managers support parents as team leaders who address the day-to-day care of their child.

Source: University of New Mexico, Center for Development and Disability
Last Updated: 10/3/2022
Organization Name: Presbyterian Healthcare Services
(Show others in Organization)
Address:
201 Cedar St. SE, Suite 4660
Albuquerque, NM 87106
Phone: 505-563-6530
Fax: 505-563-6325
Eligibility:

See children of all ages – from newborns to patients up to 21 years old.

Services Provided:

Provides special care for children with chronic medical condition.

Conditions Treated:

  • Cerebral palsy
  • Congenital heart defects
  • Genetic syndromes
  • Premature babies with lung, eye or feeding issues
  • Short bowel syndrome (SBS), or short gut syndrome.

Source: Medical Home Portal- New Mexico
Last Updated: 12/6/2022
Nationwide Provider
6728 Old McLean Village Dr
McLean, VA 22101
Nationwide Provider
Organization Name: Academic Pediatric Association
(Show others in Organization)
Address:
6728 Old McLean Village Dr
McLean, VA 22101
Service Categories:
Eligibility:

Only accessible to professionals involved in care and policy for children with medical complexity.

Services Provided:

Hosts a nationwide forum to be used by providers, programs and organizations that are part of the pediatric complex care listserv. Tools include a complex care listserv and a directory of programs.

Source: MHP-Nationwide
Last Updated: 9/4/2022