Care Coordination in New Mexico

Care coordination for children with special health care needs often is complicated because there is no single point of entry into the multiple systems of care, and complex criteria frequently determine the availability of funding and services among public and private payers. Care coordination is a valuable tool to reduce disparities and improve access to health care and other social support services.

The New Mexico Care Coordination Consortium was established to be a source of information, resources, tools, expert advice, and peer learning and support for pediatric and family practice staff, managed care organizations, Medicaid, community-based family organizations, Title V staff and other service providers who focus on coordinating care for children, with an emphasis on those with chronic conditions and special health care needs.

The Consortium supports the work of the NM Title V Children with Special Health Care Needs program to promote access to a comprehensive Medical Home for all children. Complex and uncoordinated care is a contributing factor to poor health outcomes in the pediatric population of Children with Special Health Care Needs (CYSHCN).

Join the NM CCC

For more information about joining the NM CCC, please contact:
Susan Chacón MSW, LCSW
Director, Children’s Medical Services
Title V Children and Youth with Special Health Care Needs
Phone: 505-476-8860

More on Care Coordination in New Mexico

This page is provides direct links to many care coordination resources that may be of use to individuals working with patients and families in New Mexico. Please also explore the entire New Mexico Medical Home Portal for information for families, caregivers, and medical professionals. You can also find information about local resources in the Services Directory.


Information & Support

For Professionals

Children’s Medical Services/Children with Special Needs, New Mexico Department of Health
Children's Medical Services offers care coordination, access to Multidiscipinary Pediatric Specialty Clinics, and more. CMS also offers additional services for those who meet financial and medical eligibility guidelines. CMS is a supporter of the Medical Home Portal's partnership with New Mexico.

Find a Health Center (NM PCA)
Interactive map and locator for primary care in New Mexico. Not specific to CYSHCN; New Mexico Primary Care Association.

MotherToBaby, a service of the non-profit Organization of Teratology Information Specialists, is dedicated to providing evidence-based information to mothers, health care professionals, and the general public about medications and other exposures during pregnancy and while breastfeeding.

NM Crisis Line
If you or a loved one is experiencing any kind of emotional crisis, mental health or substance use concern, you can find help 24 hours a day, seven days a week, by calling the New Mexico Crisis and Access Line or Peer to Peer Warmline.

New Mexico Treatment Finder (NM DOH)
Locator for substance use disorder treatment resources in New Mexico. Also includes information and resources related to substance use; New Mexico Department of Health.

New Mexico Network of Care for Behavioral Health (NM HSD)
Resource for individuals, families, and agencies concerned with behavioral health. Provides information about behavioral health services, laws, and related news, as well as communication tools and other features; New Mexico Human Services Department.

New Mexico PullTogether (NM CYFD)
Parenting support, child care, home visiting and other child-related community resources. Includes directory of child care providers; New Mexico Children, Youth & Families Division.

SHARE New Mexico
Directory of resources in New Mexico including community health, social services, and more.

UNM Center for Development and Disability Information Network
Offers a variety of resources and supports in person in Albuquerque and statewide online, remotely, and over the phone. UNM CDD is a supporter of the Medical Home Portal's partnership with New Mexico.

Services for Patients & Families in New Mexico (NM)

For services not listed above, browse our Services categories or search our database.

* number of provider listings may vary by how states categorize services, whether providers are listed by organization or individual, how services are organized in the state, and other factors; Nationwide (NW) providers are generally limited to web-based services, provider locator services, and organizations that serve children from across the nation.

Authors & Reviewers

Initial publication: June 2019; last update/revision: February 2019
Current Authors and Reviewers:
Author: Lennea Bower, MA