Centennial Care, New Mexico Medicaid, is a payment assistance program that provides health coverage for low-income residents of the state.
Many rehab centers accept Medicaid for addiction treatment and mental health services.
Established in January 2014, New Mexico Medicaid is a government-funded program that gives low-income people access to quality healthcare at a low-cost or no cost.
The program includes a range of mental health and behavioral health services to people experiencing mental illness, substance use disorders, and other issues.
What Addiction Treatment Services Are Covered By Medicaid In New Mexico?
Substance abuse treatment services covered by New Mexico Medicaid may vary depending on the health plan.
Some of the drug and alcohol addiction services covered by Medicaid in New Mexico include:
- substance use disorder assessment
- detoxification
- short-term residential treatment
- long-term residential treatment
- partial hospitalization programs (PHP)
- adult day treatment
- inpatient treatment
- outpatient programs (OP)
- intensive outpatient treatment
- dual diagnosis treatment
- medication-assisted treatment (MAT)
- medication management
- aftercare services
- counseling and/or psychotherapy services
- individual, family, and group therapy
- peer support
Top 5 Rehab Facilities In New Mexico That Accept Medicaid
Multiple behavioral health centers accept New Mexico Medicaid for alcohol and drug addiction treatment.
We selected five of these rehabilitation centers for this list based on indicators of excellence.
Indicators of excellence in regard to addiction treatment include:
- accreditation
- certifications
- high Google ratings
- client testimonials
1. ALT Recovery Group, Las Cruces, New Mexico
ALT Recovery Group is a clinic that provides treatment for opioid use disorder. The treatment facility has locations in Las Cruces, NM, and Chatsworth, CA.
The facility uses methadone maintenance to support long-term recovery from opioid addiction.
Trusted features:
- evidence-based treatment
- accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF)
Levels of care:
- outpatient treatment
- medication-assisted treatment (MAT)
Treatment services:
- individualized treatment
- methadone treatment
- discharge planning
- case management
Payment options:
- Medicaid
- Medicare
- private health insurance
- self-payment options, i.e. self-pay: credit cards, checks, or cash
Location and contact information:
1141 Mall Dr.
Ste. E
Las Cruces, NM 88011
(575) 522-0660
2. Santa Fe Recovery Center, Santa Fe, New Mexico
Santa Fe Recovery Center is a non-profit substance abuse treatment center that helps clients recover from alcohol and drug abuse and related mental health issues.
The facility provides evidence-based, individualized treatment to best serve the needs of its clients. Treatment programs adhere to American Society of Addiction Medicine (ASAM) criteria.
Medication-assisted treatment (MAT) here integrates the use of Suboxone or naltrexone with behavioral therapy.
Trusted features:
- evidence-based treatment
- accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF)
Levels of care:
- detox
- long-term residential treatment
- short-term residential treatment
- intensive outpatient program (IOP)
- outpatient treatment
- medication-assisted treatment (MAT)
Treatment services:
- individual therapy
- group therapy
- family therapy
- gender-specific services
- relapse prevention
- art therapy
- cognitive behavioral therapy (CBT)
- psychoeducation
- case management
- transportation assistance
- peer recovery support
Payment options:
- Medicaid
- Medicare
- private health insurance
- self-payment options, i.e. self-pay: credit cards, checks, or cash
Location and contact information:
2504 Camino Entrada
Santa Fe, NM 87507
(505) 471-4985
3. Serenity Mesa, Albuquerque, New Mexico
Serenity Mesa is a non-profit substance abuse treatment center and provider of transitional living. It is owned and operated by Healing Addiction in our Community (HAC).
Inpatient rehabilitation spans 90+ days, during which clients are provided with therapy, life skills training, and a range of other services to support addiction recovery.
In addition to drug and alcohol rehab, clients are guided on how to develop a sense of purpose for a fulfilling, positive life.
Trusted features:
- evidence-based treatment
- verified by Psychology Today
Levels of care:
Treatment services:
- individual therapy
- group therapy
- medication management
- relapse prevention
Payment options:
- Medicaid
- Medicare
- private health insurance
- self-payment options, i.e. self-pay: credit cards, checks, or cash
Location and contact information:
3701 Condershire Dr. SW
Albuquerque, NM 87121
(505) 877-3644
4. Solutions Treatment Center, Multiple Locations
Solutions Treatment Center provides therapeutic healing services for mental and behavioral health issues, substance abuse, and emotional trauma.
In addition to outpatient and intensive outpatient programs, the facility also offers addiction treatment for professionals including airline pilots, clergy members, and professional athletes.
Trusted features:
- evidence-based treatment
- licensed staff
Levels of care:
- intensive outpatient program (IOP)
- outpatient treatment
- aftercare
Treatment services:
- individual therapy
- group therapy
- cognitive behavioral therapy (CBT)
- dual diagnosis treatment
- referral services
- case management
- life skills training
- relapse prevention
Payment options:
- Medicaid
- Medicare
- private health insurance
- self-payment options, i.e. self-pay: credit cards, checks, or cash
Location and contact information:
2209 Miguel Chavez Rd.
Santa Fe, NM 87505
(505) 424-3170
5. Zia Recovery Center, Las Cruces, New Mexico
Zia Recovery Center is a drug rehab program that was founded by people in recovery from addiction. The facility adopts treatment approaches that are holistic and individualized.
The facility provides a full continuum of care, which spans detox, inpatient rehabilitation, outpatient services, transitional living, and aftercare.
Trusted features:
- evidence-based treatment
- verified by Psychology Today
- accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF)
- LegitScript-certified
Levels of care:
- detox
- residential treatment
- intensive outpatient program (IOP)
- outpatient treatment
- aftercare
Treatment services:
- individual therapy
- group therapy
- individualized treatment
- case management
- 12-step support groups
Payment options:
- Medicaid
- Medicare
- private health insurance
- self-payment options, i.e. self-pay: credit cards, checks, or cash
Location and contact information:
303 N. Alameda Blvd.
Las Cruces, NM 88005
(575) 523-0111
Factors That Affect New Mexico Medicaid Insurance Coverage For Addiction Treatment
Coverage for a rehabilitation center may depend on a few variables, such as copays, referrals, and prior authorization.
Copayments
Centennial Care requires several copayments, though these fees are generally under $10. Copays may look different for each health plan.
General copays for New Mexico Medicaid include:
- generic version of brand-name drugs: $8 per prescription
- emergency room visits for non-emergencies: $8 per visit
Maximum amounts are in place for copayments that vary based on each health plan. If you reach your maximum in the quarter, you will not have to pay any additional copays until the next quarter.
To determine the maximum copay amount associated with your insurance plan, contact a plan representative.
Referrals And Prior Authorization
Referrals are not needed for behavioral health services. However, you may need to receive prior authorization (PA) for some services.
PA lets Medicaid know that a treatment service is medically necessary. PA may be necessary for drugs that are not on the preferred drugs list or out-of-network treatment services.
PA is required for the following treatments for drug and alcohol addiction:
- inpatient drug rehab
- PHP that exceeds 45 days
- residential rehab
Qualifying For New Mexico Medicaid
To qualify for New Mexico Medicaid, you must be a U.S. citizen and resident of the state of New Mexico.
Other qualifying demographic factors pertain to people who are:
- pregnant
- responsible for a child 18 years of age or younger
- blind or disabled
- 65 years of age or older
New Mexico Medicaid Income Eligibility Requirements
Income requirements are set based on the federal poverty level (FPL) and range from 100% to 150% of the FPL.
Recent annual income limits before taxes for those who are 130% of the FPL are as follows:
- one-person household: $19,392
- two-person household: $26,228
- three-person household: $33,064
- four-person household: $39,900
- five-person household: $46,737
- six-person household: $53,573
- seven-person household: $60,409
- eight-person household: $67,245
For each person after eight, add another $6,836.
Using A New Mexico Medicaid Plan For Drug Addiction Rehab
Centennial Care provides services with the use of health plans, or managed care organizations (MCOs).
Optional plans within Centennial Care include:
- Blue Cross Blue Shield
- Presbyterian Health Plan
- Western Sky Community Care
These plans can be used to cover substance abuse treatment. First, select a health plan that covers the treatment options that will best support your recovery.
Next, wait to receive your health plan member ID card. Once you’ve been enrolled in a plan and have an ID card, bring it to the addiction treatment center and start your drug abuse program.
New Mexico Medicaid Insurance Coverage For Drug And Alcohol Rehab FAQs
It can be overwhelming to find the right drug rehab center for yourself or a loved one. To ease your search, we have answered commonly asked questions about Medicaid coverage in New Mexico.
What If I Need To Stay In Rehab Longer Than New Mexico Medicaid Covers?
Your health plan may only cover a limited number of days. However, it is possible to have the timespan extended if needed.
For example, Medicaid only covers 45 days of partial hospitalization, but it is possible to receive approval for additional time in a PHP program.
If your request is denied, you can likely fund the rest of your rehab stay with sliding fee scales, scholarships, grant funding, loans, and other payment assistance methods.
What Are The Benefits Of New Mexico Medicaid Drug Rehab?
There are many benefits to attending a rehab center that accepts Medicaid insurance.
Three of the most important benefits include:
- use of evidence-based treatment at these facilities
- low or no cost for treatment
- access to comprehensive care
At these treatment facilities, you can trust that you will receive substantial substance abuse and mental health treatment to pave the way for long-term recovery.
Are Opioid Abuse Treatments Covered By New Mexico Medicaid?
Centennial Care covers methadone, naltrexone (Vivitrol), Suboxone, buprenorphine/naloxone tablets, and buprenorphine tablets.
Find An Addiction Treatment Provider Today
If you or your loved one is ready to seek treatment for a substance use disorder, call us today for free, confidential assistance getting started.
Article Sources- Blue Cross Community Centennial — 2019 Member Handbook
https://www.bcbsnm.com/pdf/benefits/cc_member_handbook_nm_2019.pdf - New Mexico Human Services Department (NMHSD) – Centennial Care Managed Care Organizations
https://www.hsd.state.nm.us/lookingforinformation/centennial-care-managed-care-organizations/ - New Mexico Human Services Department (NMHSD) — Centennial Care Overview
https://www.hsd.state.nm.us/lookingforassistance/centennial-care-overview/