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New Mexico LTSS - Lookup Tools
Find a provider
Provider Directories
You can search the online provider directory or download a copy of the directory below. Note: the provider and other information found in online search is updated more often than the downloadable directory.
Search online for a Network Provider
Your Primary Care Provider (PCP)
Your main doctor, nurse practitioner/physician assistant is called a Primary Care Provider (PCP). When you see the same PCP over time, it’s easier to develop a relationship with them. Each family member can have their own PCP, or you may all choose to see the same person. You will see your PCP for:
- Routine care, including yearly checkups
- Coordinate your care with a specialist
- Treatment of your chronic health care needs and any changes that occur in your health
- Other health concerns
Know your options
You can choose between many types of network providers for your PCP. Some types of PCPs include:
- Family doctor (also called a general practitioner) — cares for children and adults
- Gynecologist (GYN) — cares for women
- Internal medicine doctor (also called an internist) — cares for adults
- Nurse Practitioner (NP) — cares for children and adults
- Obstetrician (OB) — cares for pregnant women
- Pediatrician — cares for children
- Physician Assistant (PA) — cares for children and adults
If you would like help, call Member Services at 1-877-236-0826.
Interpreter services and language assistance
Many of our Member Services employees speak more than one language. If you can’t connect with one who speaks your language, you can use an interpreter to help you speak with Member Services.
Many of our network providers also speak more than one language. If you see one who doesn’t speak your language, you can use our interpreter or sign language services to help you during your appointment. Arrange for your interpreter services at least 72 hours before your appointment.
Changing your PCP
It’s important that you like and trust your PCP. You can change PCPs at any time. Call Member Services and we can help you make the change.
Emergency and Urgent Care
The Provider Search Tool provides a list of many urgent care centers that you can use. You can use these centers when it’s not a life-threatening situation, but you are sick or need medical care right away and your PMP is not available. Urgent care centers are usually open in the evenings and on weekends.
Emergency rooms (ERs) are for major injuries or sudden sicknesses
that may be life threatening and need medical care right away. In an
emergency, you should call 911 or go to an ER immediately. If you use
the ER for a reason that is not an emergency, you might owe a $3.00
copay. Your member handbook includes details about how to get approval
to visit the ER.
Download the Provider Directories
Find a drug
The New
Mexico (PDL) Preferred Drug List is a list of covered
prescription drugs and drugs needing a prior approval. Prior approval
is when your doctor must call us before giving you the prescription to
see if we will cover it.
The PDL is available in other
languages, in large print and Braille. If you have questions or need
an alternative format, please call Member Services.
Note
that many on our Member Service team speak several languages. We also
have an interpreter service, which supports more than 240 languages
over the phone. We also support American Sign Language.
- If you have trouble hearing or speaking over the phone, you can use a text telephone. It’s a free service. Call 711 to learn more. Or use the number 1-877-236-0826 to get connected with us.
Behavioral health services
Behavioral health is about how you feel and act. It is also called mental health. Your mental health is very important. All New Mexico LTSS members can get mental health and addiction services without a referral. This includes:
- Office visits
- inpatient and outpatient services.
- See the member handbook for details.
- See the member handbook for details.
While you are able to get behavioral health services without a referral from your PMP. Sometimes, it makes sense to talk to your PMP about any behavioral health problems you believe you may have. That way, your PMP can help to refer you to a behavioral health provider that works with us. If you want to find a behavioral health provider on your own, you can search for one at any time and make an appointment.
You can also call Member Services at 1-888-604-2575, TTY 711, for help.
Substance Use Disorder Services
Members can get residential treatment if they are getting help due to alcohol or drug use. This includes overnight stays in a facility. The member’s Care Coordinator can help answer questions or explain any limits or prior approval needed.
Pharmacy
If you have questions about covered medications or pharmacy
locations, please call Member Services at 1-877-236-0826, TTY 711.
Dentist
Search for a dentist. https://www.myuhcdental.com