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The Peñasco SPOT Office 

Strength . Pride. Optimism. Trust. 

The Spot Office Is dedicated to providing essential navigation services and community outreach opportunities  to the greater southern Taos County area. 

Office Hours : Mon. - Fri. 8 AM-4 PM


14156 State Road 75

Penasco, NM 87553

PO Box 237

Program Director

Miguelangel Ortiz 


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Events and Opportunities hosted by SPOT aim to promote the values of Strength, Pride, Optimism, and Trust within the immidiate community to enhance and fortify a sense of comradery, support, and confidence in community members. 

Click Here For A Calendar of

SPOT Events and Programs

City Center

Navigation Services 

Community Outreach

Community Health Workers  are in the frontlines of our community, helping individuals, families, and groups to navigate complex systems, overcome barriers, and connect to necessary health and social service resources.  CHW's  assist clients with applications and case management of programs like SNAP, LIHEAP,  Rental Assistance, Housing, Medicaid/Medicare, Social Security, and Other Assistance Programs 

Together For 
A More Positive Community.  


Clients on Pathways Model with CHW’s


Inactive Clients

Since Start 

Of Covid-19





SPOT space for Printer, 

Fax,Wifi, Etc. 

SPOT Serves 122 Clients in The Southern Taos County Area 

Our clients average 53 Years Old with 51%  being Female & 49% being Male

Some of the needs being addressed by our services: 


Our services act as a preventative resource for our community. Our services and advocacy improves the health and quality of life.

Aging Pop. 

The SPOT, located in Peñasco saves our clients a 50 mile round trip. Most vulnerable do not have transportation access.


We assist clients in navigating county, state and federal services - including internet and phone support.


The average age of our clients is 53 years old. The struggles of this at risk age group is exacerbated in rural areas and by Covid-19.


We support the local economy by hiring and training CHWs and other support and program staff from the community.



Rural Health Program Funding 

Ongoing funding and resources are important to sustaining rural community health programs.

Rural health programs sustain program funding through:

  1. Contributions from partner organizations

  2. Funding from grants, county contracts and federal/state monies

  3. Reimbursement for services - MEDICAID

Current issues with SPOT Funding (Currently -4,500 Overspent)

The avenues for funding of our rural health program are outlined below :

  1. Contributions from partner organizations

Funding is limited and eventually exhausted.

      2. Funding from grants and contracts

Funding has led us to be overly grant dependent and ultimately

    3.Reimbursement for services

SPOT does not have the funding to set-up up medicaid billing.


Solution to funding Medicaid Billing

Setting up a Fee-for-Service Model would allow us to be funded based on our services completed, and ultimately become sustainable.

TBH successfully uses this model to provide services to our local youth, while also creating jobs for locals. TBH is a partner of MAS Comunidad. However, our intent is not to duplicate services. TBH provides services to the youth while our fee-for-service would serve the adults and elders in the community.

Needs to be addressed to set-up SPOT Medicaid Billing

Funding to provide Electronic Medical Records Program Training

Our core limitation to setting up Medicaid Billing and making the SPOT sustainable is Funding for salaries and for the EMR program itself.


Operational Costs for our S.P.O.T Navigation Office​​ 

Cost of Operation currently over budget for $4,500 

Total Operations Cost Covers: 

  • 1 Full Time CCHW/CCSS

  • 1 Full Time Licensed Clinical Social Worker

  • Contracted License Medical Social Worker (Supervise/Medicaid Sign-Off)

  • Electronic Medical Records Service Fee and Monthly Lease

  • Part Time Director

Our ARP Funding Proposal 

Total Asking Cost: $129,200

To set up medicaid billing and make our S.P.O.T program sustainable.

To serve 243 adults and elders in the community with LCSW and Navigation Services for the indefinite future.


Levels and types of CHW intervention in Medicaid Managed Care Population

While the cost of healthcare skyrockets for those in poor or very poor health, the top 5 percent of clients with the worst health account for 50 percent of the costs.

Specific interventions to the left of the curve include: screening clients for the social determinants of health, connecting clients with resources to address those social determinants, assisting clients to navigate health and social services systems, and empowering clients to be active members in the process.

The development and implementation of this clinic-integrated CHW model took place through a collaboration between the University of New Mexico Health Sciences Center and the Southwest Center for Health Innovation. Support from the New Mexico Human Services Department Medicaid Assistance Division, Blue Cross Blue Shield of New Mexico and Molina Healthcare of New Mexico made this collaboration possible.

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