Medicaid plans › New Mexico
New Mexico Medicaid Managed-Care Plans for Providers
Enrollments are billed 50% at the start and 50% at submission; everything else 100% at the start.
New Mexico Medicaid (Turquoise Care) is run by the New Mexico Health Care Authority. 735,171 people were enrolled in its 4 managed-care plans in 2024. To see their patients, a provider enrolls with New Mexico Medicaid (Turquoise Care) through the New Mexico Medicaid Provider Portal (Conduent), then applies to each plan separately.
| Plan | Members (2024) | Share | Parent |
|---|---|---|---|
| Presbyterian Health Plan | 376,377 | 51.2% | In-state |
| Blue Cross Blue Shield of NM | 274,706 | 37.4% | Health Care Service Corporation |
| Molina Healthcare | 42,304 | 5.8% | Molina Healthcare |
| UnitedHealthcare Community Plan | 41,784 | 5.7% | UnitedHealth Group |
How Joining Works in New Mexico
First the state: New Mexico Medicaid (Turquoise Care) enrollment through the New Mexico Medicaid Provider Portal (Conduent), which gives you the Medicaid ID every plan asks for. Then the plans: each takes its own participation request and credentials you from your CAQH ProView (DataSpring) profile. 3 parent companies run plans here, and plans owned by the same company still contract state by state.
How to Join Each New Mexico Plan
Blue Cross Blue Shield of NM (Health Care Service Corporation): This is the Blue Cross plan's Medicaid line. It is contracted separately from the plan's commercial network, so a commercial Blue Cross contract does not make you a Medicaid participant.
Molina Healthcare (Molina Healthcare): Molina credentials each state separately. The contract request goes through the state's Molina provider site and requires an active state Medicaid enrollment; credentialing uses your CAQH ProView (DataSpring) profile.
UnitedHealthcare Community Plan (UnitedHealth Group): UnitedHealthcare Community Plans use UnitedHealthcare's provider onboarding: a participation request on the UnitedHealthcare provider site, credentialing from your CAQH ProView (DataSpring) profile, then a state-specific Community Plan agreement.
Presbyterian Health Plan: This plan is run in-state rather than by a national carrier, so participation requests go to the plan's own provider relations or contracting team, listed on its provider website.
Also in New Mexico: Medicare, New Mexico Medicaid (Turquoise Care) and commercial credentialing.
Questions
Which New Mexico Medicaid plan is the largest?
Presbyterian Health Plan, with 376,377 members in 2024, 51.2% of the 735,171 people enrolled in New Mexico's Medicaid managed-care plans.
Do I have to join every New Mexico Medicaid plan?
No. Each plan is a separate contract. Practices usually start with the two or three largest plans in their county, then add others as patients ask for them. All of them require New Mexico Medicaid (Turquoise Care) enrollment first.
Membership from KFF, Medicaid MCO Enrollment by Plan and Parent Firm, 2024. Plans change when the state rebids its contracts; we confirm the current list on every file.