Presbyterian | Spring 2022 | Your Story

2 We know that traditional customs are an important part of health and wellness for Native American people. We seek to honor and support your culture with the Traditional Medicine value-added service. This value-added service can help you with $300 per calendar year (January 1 to December 31) to cover costs for Native American traditional or ceremonial services. This service is only available to Native American Centennial Care members and is to be used for traditional medicine or ceremonial purposes only. Your Native American status must be shown on your PresID membership card. If your membership card does not show Centennial Care Native American, please contact your local Income Support Division office to make the needed changes. We have updated the application form to make it easier for you. To request a new application, please call the Presbyterian Customer Service Center (PCSC) at (505) 923-5200 . Please ensure that you are using the new application form. This will make processing easier. Also, please fill out the form completely, including signature, current address, date, and your Presbyterian member ID number. Incomplete forms cannot be processed. Once your form is complete, you can fax it to us at (505) 355-7150 or you can mail it to us at: Presbyterian Centennial Care Attn: Claims P.O. Box 27489 Albuquerque, NM 87125-7489 Presbyterian processes forms in five to six weeks. To check the status of an application or request an application form, please contact the PCSC at (505) 923-5200 . Native American Centennial Care members can also submit the Traditional Medicine value-added service application online. The link to the application can be found on the Centennial Care for Native Americans page at www.phs.org/health-plans/centennial-care-medicaid/Pages/native-american-communities.aspx under the Value Added Services section. By submitting your application online, it will help speed up the review process. Traditional Medicine: A value-added service available for you! Your full name: First, last name Your date of birth Your Presbyterian member ID number located on your Centennial Care card (not Medicaid ID number) All information below is required: Your address: The address you used when you applied for Medicaid. (This is where the check will be mailed.) • If your mailing address has changed, please contact the ISD office to make any address changes. Your phone number: List the phone number where we can reach you if we have questions. Acknowledgment: Print or sign your name and enter the date you signed the application. Traditional Medicine online application available now!