Getting Turquoise Care Rehab Treatment Options

Using the New Turquoise Care Medicaid for Support at Icarus in NM

When you’re not in a position to acquire insurance through career avenues and aren’t in the financial position to cover expensive medical bills, obtaining the basic essentials of medical care, not to mention rehab services, can seem like an insurmountable challenge.

Without a primary care option and some form of insurance, emergency medical services are the only times some people receive any type of support. This doesn’t include non-routine forms of care like substance use treatment.

If you’re in need of a provider so you can receive behavioral health services and substance abuse treatment, New Mexico Medicaid Managed Care recently transitioned from Centennial Care to Turquoise Care.

Turquoise Care is in business to service Medicaid recipients with specific coverage plans and other value-added services so you can receive physical health support along with mental health treatment related to substance abuse or alcoholism.

For many clients, Icarus in New Mexico can act as a first-choice Turquoise Care rehab.

In the coming sections, you’ll learn about the ins and outs of Turquoise Care and the provider plans available under their umbrella to service Medicaid recipients. Most importantly, you’ll learn how Icarus Behavioral Health partners with Toruoise to provide life-changing mental health and addiction care to those who need it most.

We’ll highlight what to expect during treatment, what might be covered under your policy, and how to find out the specific terms of your agreement.

Turquoise Care In New Mexico & Your Medicaid Health Plan: The Most Frequently Asked Questions

On July 1, 2024, New Mexico Medicaid Managed Care began operating under the Turquoise Care designation, abandoning the Centennial Care moniker. So what does this mean for you as a current or potential member with the goal of substance use or alcohol recovery?

Let’s start by ensuring you have a solid understanding of exactly what Turquoise Care is so you have a clear picture of long-term services, added services, mental health and addiction care, and other potential benefits in relation to facilities like Icarus Behavioral Health in New Mexico.

Turquoise Care At a Glance

What is Turquoise Care Exactly?

Turquoise Care is what’s known as an MCO (Managed Care Organization) for New Mexico Medicaid recipients.

Why Can’t My Plan Just Be “Medicaid” & Nothing More? Why the Additional Providers?

Technically, you do just have a single “Medicaid” plan. However, expecting Medicaid to act alone in providing all of the value-added services available to recipients is a monumental ask. The sheer number of Medicaid recipients makes this an unrealistic scenario, and attempting to do so would significantly decrease the quality and efficiency of your coverage. MCOs contract with smaller providers and “in-network” healthcare facilities to ensure that you receive the highest quality standard health plan.

What Are These New Value Added Services & Medicaid Expansions Through Turquoise Care?

These new services through Turquoise Care specifically cater to those seeking recovery through substance use or alcohol addiction treatment. With the new transition comes refocused efforts on the following:

• Transportation services that can be used for medical appointments or visits to and from outpatient treatment at Icarus Behavioral Health.
• Additional services like Dialectical Behavior Therapy (DBT), Eye Movement Desensitization and Reprocessing (EMDR), Mobile Crisis Intervention, Trauma-Informed Cognitive Behavioral Therapy, Functional Family Therapy, and more.
• General substance use and mental health treatment.
• Assistance with prescription medications. This could be used during Medication Assisted Treatment at Icarus Behavioral Health.

Turquoise Care & Medicaid Recipients

What are my provider options For Turquoise Care?

If you’re seeking a health plan that provides mental health and substance abuse services, don’t worry. Each provider included under the Turquoise Care umbrella delivers coverage for rehab. Your provider options include:

• Presbyterian Healthcare
• Molina Healthcare
• Blue Cross Blue Shield of New Mexico
• United Healthcare

Does This Change In Health Care Impact Medicaid Enrollment?

No! You’ll still receive all the same benefits you received as before. You’re still enrolled in Medicaid, but with additional benefits that cater to those looking for substance use recovery and mental health treatment!

Turquoise Care and Seeking Rehab and Recovery Support

How Much Does My New Plan Cover for Mental Health and Substance Use Treatment?

The specific amount of coverage you’re eligible for is based on your specific Medicaid plan. By law, you must receive at least partial coverage for substance use or mental health care.

However, there is no set limit or designated amount of coverage you must receive, as this is decided based on a number of different factors. You can expect coverage for the following care levels and beyond:

Medically-assisted Detox

An available program that assists clients through the most uncomfortable part of recovery. Clients spend the withdrawal period in a medically-assisted detox receiving 24-hour care and medication to ease the intense pain and discomfort of detoxification.

Inpatient Rehab Services

Often the next step after detox, clients spend a 30, 60, or 90-day regimen focusing on education and awareness regarding addiction and behavioral patterns.

Outpatient Treatment Options

Outpatient programs are normally reserved for clients with less severe substance abuse challenges, or as a bridge between higher care levels.

Intensive Outpatient Programs

Identical to outpatient support with the addition of 4-6 hours.

PHP (Partial Hospitalization Program)

Partial Hospitalization Programs mirror inpatient rehab, with the major difference between the fact that clients are allowed to return home every evening and on the weekends. This is ideal for clients who have obligations that would otherwise prevent them from participating in inpatient rehab.

Aftercare services

Clients are prepared for aftercare services and given resources they can leverage after treatment to remain proactive in their recovery.

What Specific Treatment Forms Are Included In My Policy?

There are no therapeutic modalities listed as approved or not approved with the Turquoise Care Medicaid plan. That said, New Mexico residents are eligible to have some, if not all of their recovery treatment paid for by their provider. Ultimately, the amount that is covered rests on two dynamics: your personalized treatment plan, and the levels of rehab coverage from Medicaid in the case of your policy.

That said, thanks to the additions and new approach deployed by the providers under Turquoise Care, access to long-term care services, specialized therapeutic support, and programs New Mexicans need to navigate recovery with fewer chances of relapse.

Thanks to this newly appointed focus on providing coverage for things like behavioral therapy, trauma-informed programs, and other types of evidence-based treatment, the rehab process in New Mexico is designed to run much smoother, providing additional tools and benefits for clients. This includes:

Getting Behavioral Health Treatment Using Turquoise Care

Newly focused efforts on providing modern behavioral and evidence-based treatment reduce the need for prior authorization, eliminating time spent waiting to begin rehab for Medicaid recipients.

• There’s no need to opt-in to multiple prescription discounts or third-party savings programs. Efforts are focused on providing additional coverage for client prescriptions by the provider, making it easier to begin medication-assisted treatment or medical-assisted detox.
• Additional “value-added” services aim to provide more robust education during treatment for clients to maximize time spent during rehab.

Additional questions like “Are Native Americans required to re-enroll after the switch?” are answered through the online literature provided by Turquoise Care.

What Will My Out-of-Pocket Expenses Be?

Clients on the old Centennial Care program switching to Turquoise Care should have no concerns about any changes to the cost of treatment and any out-of-pocket costs. For new recipients, there’s no way of determining what your out-of-pocket expenses might be without first establishing a personalized treatment plan, and second, having a clear understanding of the specifics of your policy.

Each client under Turquoise Care, formerly known as Centennial Care, has unique plans that don’t establish a baseline figure for out-of-pocket expenses.

If you’d like to find out the specifics of your policy and the potential range of your out-of-pocket expenses, contact Icarus Behavioral Health today. We can help you navigate dealing with your health insurance provider, eliminating a significant amount of stress and confusion surrounding recovery.

That said, the newly designed Turquoise Care is focused on making cutting-edge treatment services more affordable for lower-income or poverty-stricken families in New Mexico.

The primary focus is on establishing a health insurance environment that provides high-quality services to every demographic, not just making them a commodity for those who have superior insurance through work or higher amounts of expendable income to cover out-of-pocket costs.

How Can I Pay for Any Out-of-Pocket Services Not Covered Under Turquoise Care?

Normally, those receiving support from a Medicaid program have access to drug rehab services with no out-of-pocket costs.

However, there are some instances where an individual may not be eligible for 100% coverage, leaving them responsible for a small percentage of the cost of services.

If you need support, there are services available for those who sign up for Medicaid and are found eligible, including community programs that service Native Americans and those with children specifically. Here are a few ideas for support services that might help a person with Medicaid cover out-of-pocket expenses for rehab, if any occur:

• Available grants or a program created by the community that provides emergency funding for local residents. You can find out about these important support services at your local community center, social services families department office, or local pharmacy or clinic.
• There might be a payment plan available at the rehab facility you’re attending. Ask them if it’s possible to make several small payments to satisfy the out-of-pocket costs associated with rehab.
• There might be charities deployed in the community that are designed to help those who need emergency funding for services and other unexpected expenses.
• If all else fails, ask a family member if they’d be willing to help with money for a short period. If they’ve been involved with your recovery before this, they might be more willing to assist if they know the money is for rehab.

Get Rehab and Emergency Medical Services at Icarus Today

If you’re located in New Mexico and need assistance with alcohol or substance use recovery, Turquoise Care is one of the richest resources available to those with state-subsidized insurance benefits.

There’s no reason your physical health and mental well-being should be put on hold because of a few particulars regarding billing and insurance. Don’t wait another day to begin your recovery journey. Contact a member of our admissions team at Icarus today.