Molinalogo

When you have Medicaid, you receive important benefits and services including, but not limited to:

• Preventive services
• Office Visits
• Inpatient Hospital services
• Outpatient Hospital Services
• Emergency Care
• Urgent Care
• Virtual Visits
• Transportation Services
• Behavioral Health Services
• Outpatient Therapy Services
• Radiology Services
• Laboratory Services
• Durable Medical Equipment (DME)
• Hospice
• Home Health
• Vision

For a full list of benefits, please read the “Benefits and Services” section in your Member Handbook  or contact Member Services.

We cover your behavioral health care. It is an important part of your overall health and wellness.

We can help you:

• Deal with feelings of sadness or worries, substance use disorder, or stress.
• Get an appointment with a doctor.
• Get the information you need about behavioral health services.
• Talk with your doctors about how you are feeling.

Available behavioral health services include:

• Substance use disorder (SUD) treatment.
• Outpatient services such as counseling
• Help with medicines.
• Day treatment
• Care management
• Inpatient treatment (if you and your doctor feel that you cannot be safely treated in an outpatient setting)
• Certified Peer Support for mental health and substance use disorder.

You do not need a referral from your PCP to get behavioral health services. But we encourage you to talk to your PCP about your behavioral health. They can help make sure you are getting the help, care, and support you need.

If you or someone in the home is in the act of harming themselves or harming someone else, please contact  911 immediately. If you are having behavioral health distress or have thoughts about harming yourself or someone else:

• Molina operates a Behavioral Health crisis line. Trained behavioral health clinicians are available to assist you 24 hours a day, 7 days a week.
• You can also get help right away by dialing 988 to reach the National Suicide Lifeline
  • 988 is the National Suicide Lifeline. Anyone in need of suicide or mental health crisis support (or anyone worried about someone else), can get free and confidential support 24 hours a day, 7 days a week, 365 days a year by dialing 988 from any phone.
• Go to the closest hospital for emergency care

Your Molina Healthcare of New Mexico dental benefits include important services like:

• Preventive Services like exams and topical fluoride
• Diagnostic Services like Oral Evaluations & X-rays
• Restorative Services like Crowns & Root canals
• Orthodontic Services
• Emergency service

For a full list of benefits, please read the “Dental Benefits” section in your Member Handbook or contact Member Services.

• One exam and one pair of glasses each year for ages 20 and under
• One exam and one pair of glasses every three years for ages 21 and older
• Vision care for eye injury or disease
• You may also get extra vision benefits using your Molina value-added service for vision. See Value-added services in your Member handbook for more information

For a full list of benefits, please read the “Dental Benefits” section in your Member Handbook or contact Member Services.

Covered Drugs

You get prescription drugs at no cost to you. We cover your medically necessary medicines when filled at a network pharmacy. We also cover some over-the-counter (OTC) medicines with a prescription from your provider.

Generic drugs are drugs that have the same dosage, safety, strength and intended use as a brand-name drug. They usually cost less than brand-name drugs.

We cover all drugs covered by New Mexico Medicaid. New Mexico Medicaid uses a Preferred Drug List (PDL). Our PDL includes both generic and brand-name drugs. It also gives you facts about a drug and lists any restrictions on them. To fill your prescriptions, you must use a network pharmacy. Be sure to take your member ID card with you. Be sure to fill your prescriptions before you travel out of state.

To find a network pharmacy, see our Provider Directory. You can also contact Member Services.

Find our PDL at New Mexico

You can get  rides at  no cost to you for your non emergent health care appointments. Contact Superior Medical Transport at (833) 707-7100 (TTY:711)  from Monday through Friday, 6 a.m. to 8 p.m. MST.  Please contact us at least three (3) business days before your healthcare appointment to make sure you get the ride you need.

When you contact Superior to schedule a trip, have these things ready:

• Your Molina ID number
• Your first and last name
• Your home address including ZIP code for the pick-up
• The name, address, and ZIP code for the healthcare provider you’ll see
• The date and time of your healthcare appointment

For more information about scheduling transportation check out the
Superior Medical Transport 

Molina also offers extra value-added services (VAS) to their members. In addition to covered services, you may be eligible to get extra VAS as a Molina Medicaid member! These value-added services are provided to help you and your family with your health and wellness. Some of these services are limited and may have additional requirements or require approval. VAS may change from year to year.

For questions or to access these services, please call Member Services at (844) 862-4543 711. See the table below for a summary of VAS.

* Limit of $1000 per member per calendar year across all VAS that fall into the “Housing Assistance” category.