www.phs.org/centennialcare 11 In partnership with you and the New Mexico Human Services Department (HSD), we have some important news to share about your extended Centennial Care (Medicaid) benefits. Everyone enrolled in Medicaid must renew their benefits. You will receive a turquoise envelope from HSD when it’s time to renew your Medicaid benefits. If you have signed up for HSD electronic notices, watch for email or text updates. When you are notified, log in at www.yes.state.nm.us. Click the “Renew My Benefits” button to complete your renewal application. If HSD requests more information, please provide it right away. You must complete your renewal application to check if you are still eligible to keep your benefits. Why do I need to renew? During the COVID-19 public health emergency, your Medicaid and SNAP benefits were automatically renewed. This has changed. Now, everyone will need to renew their Medicaid and/or SNAP benefits when notified. If you do not renew, your coverage will end. What if I am no longer eligible for Medicaid? If you are notified that you are no longer eligible for Medicaid, you can find low- or no-cost coverage through beWellnm. Check out all your choices online at bewellnm.com or by calling 1-833-862-3935. We’re here for you! Presbyterian Health Plan wants to help you through this change. We want to give you the support you need during this change so that you can continue your healthcare journey with us. Feel free to reach out to us with any questions or concerns you have. Call the Presbyterian Customer Service Center at the number on your Presbyterian member ID card, (505) 923-5200, or 1-888-977-2333. Get help with the Presbyterian Health Plan Ombudsman Program The Presbyterian Health Plan Ombudsman Program is here to help you learn how your insurance works and get the care that you need. How the ombudsman can help you: •Help solve issues or problems (before they enter the grievance or appeal process) •Learn about Presbyterian Health Plan •Get referrals and resources (aid) •Refer or recommend a care coordinator to you •Teach you about your rights under Centennial Care What is an ombudsman (awm-budz-muhn)? An ombudsman is someone who looks into member problems and helps to solve them. They do this without taking anyone’s side. What is the role of the ombudsman? The Presbyterian Centennial Care ombudsman works with you to help with issues through support and research. When should I call the ombudsman? Talk with the ombudsman early if you are having a problem with getting the care you need. If you are having trouble getting in touch with healthcare providers, use the ombudsman to help you with your needs. How can the ombudsman help me? The ombudsman works with you on issues and is not part of the grievance (complaint) system or appeals process. The ombudsman works with your care team to be your voice — to talk about your needs. What does an ombudsman not do? The ombudsman does not take the place of processes such as appeals or grievances. The ombudsman will not make final choices about your care. To reach the Centennial Care ombudsman: Phone: (505) 923-5780 Fax: (505) 923-8159 Email: ombudsman@phs.org Address: Presbyterian Health Plan 9521 San Mateo Blvd. NE Albuquerque, NM 87113 Be on the lookout for your benefit renewal application
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