Native Americans and Managed Care Enrollment

The Salud! program

Native American Medicaid recipients who are otherwise eligible for Salud! will receive Medicaid coverage on a fee-for-service basis unless the recipient chooses to enroll with one of the four Salud! managed care organizations contracted with the state. This affirmative step to enroll in managed care includes choosing a Managed Care Organization (MCO) to provide services through a provider network. For a list of frequently asked questions regarding MCOs, please click HERE. For a listing of Salud MCOs currently contracted with HSD, please click HERE.

The Coordination of Long-Term Services (CoLTS) program

Native American Medicaid recipients eligible for CoLTs must choose an MCO for long-term and acute physical health services. Behavioral health services are coordinated with the Statewide Entity. For More information regarding the CoLTS program, please click HERE. For more information on the CoLTS MCOs, please click HERE.

Behavioral Health Services

Native American Medicaid recipients who are otherwise eligible for Salud! care will receive Medicaid coverage on a fee-for-service basis unless the recipient chooses to enroll with an MCO. New Mexico's MCO for behavioral health services is Optum Health, New Mexico . For more information on Optum Health, New Mexico, please click HERE.

State Coverage Insurance (SCI)

Native American Medicaid recipients eligible for SCI must choose an MCO for SCI services. For more information on SCI, please click HERE.