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How to Switch Managed Care Organizations (MCOs)

How to Switch Managed Care Organizations (MCOs) Health Plan
HCA allows Medicaid enrolled members to change his/her Managed Care Organization (MCO) health plan (per state regulation 8.308.7.9 I NMAC) selection outside of the annual recertification period for cause, such as but not limited to: poor quality of care, lack of access to covered benefits, or lack of access to providers experienced in dealing with the member’s health care needs. To learn more about the MCO health plans click here

https://www.hca.nm.gov/turquoise-care-health-plans/

Requests to change your MCO must be sent in writing to:
New Mexico Health Care Authority
Medical Assistance Division
P.O. Box 2348
Santa Fe, NM 87504

For more information, please call the Consolidated Customer Service Center (CCSC) at 1-800-283-4465.