Rio Arriba County Department of Health and Human Services


In 1997, upon discovering a growing and seemingly localized opioid epidemic Rio Arriba County established the Rio Arriba Health and Human Services (RAHHS), the first county-run health and human services department in the state of New Mexico. It serves all county residents, but staff specifically reach out to individuals experiencing substance use disorder who have survived overdose at the local hospital, and to individuals presenting with opioid use disorder (OUD) who are identified at the jail, by law-enforcement, or before a court.

RAHHS has led innovative programs and ways of providing services to the community where jail diversion is at every intercept point through a county-led network of provider agencies connected through outcome-based case management. 


The department developed county capacity to support Adult Day Care, substance and opioid use disorder treatment and case management through Medicaid.


RAHHS Programs & Services


Justice Involved Services

  • LEAD
  • RROE
  • RISE

Mental & Behavioral


Youth & Family Services

Evidence based practice9


Senior Services

Rio Arriba Adult Day Care Facility
We have partnered with Rio Arriba Senior Programs to expand programming, clinical oversight and wrap-around services for ambulatory disabled residents of RAC. Participants are offered opportunities to socialize, eat breakfast and lunch, play games, exercise, go on outings, participate in arts and crafts, receive educational information, and care coordination services. Participants are assessed to develop an individualized service plan that works for them.
During the COVID-19 Pandemic, we have offered masks, information and coordinated pandemic response with testing and vaccines accesibility.



RACHC is the designated Health and Human Services planning council for the Board of Rio Arriba County Commissioners. The Health Council and its taskforce include health care planning, resource development, pandemic response, behavioral health resource development, legislative advocacy and health education. The council meets every third Thursday of the month. For more information, email RAHHS Director Lauren Reichelt




Pathways: an outcomes-based approach to improving health care 


For more than a decade, Rio Arriba County has used Pathways Care Coordination, an outcomes-based chronic disease management service delivery model. This model works to mitigate social factors that influence a patient's ability to manage their disease, which treats the patient as a whole person with a chronic condition- not unlike diabetes or heart disease - and is shown to lead to better overall outcomes. RAHHS is the first in the nation to use this specific model of intensive case management to treat OUD.


Rio Arriba Case Management and Outreach Services is nationally recognized by the federal government as a model for rural health care delivery. 


RAC is one of about twenty counties across the nation piloting an innovative approach to case management that holds case managers accountable for producing positive health outcomes rather than for producing specific units of service.


For the last few decades, insurance companies have paid providers for producing specific units of service such as tests, immunizations or CAT scans, regardless of the impact of these units of service on the overall health of the individual being served. The result is a lot of unnecessary procedures and poorer health. RAC is one of the few providers in the country that judges its case managers on their ability to improve patients’ health. 

We provide intensive case management for the following groups:

1) High risk pregnancies;

2) Frequent users of the emergency room;

3) Community members who are overusing alcohol and other drugs.

Our case managers help community members find the services that are right for them.


The Northern New Mexico Rural Health Network expands access to, coordinate and improve the quality of essential behavioral and primary health care services, and enhance the delivery of health care in rural and frontier Rio Arriba and Taos counties




Case Managers

Sixto Aguirre

Christina Archuleta

Edwina Romero

Mona Serna-Leal

Floyd (Nicko) Zamora

Program Coordinator

Brittany Serna

Program Manager

Marie Gutierrez

Benefit Enrollement Coordinator &

Adult Day Care Director

Lyle Lomayma

Adult Day Care

Judy Montoya

Maria Martinez



Melissa Vigil-Martinez

Clinical Director 

Shaia D’Orso

Assistant Clinical Director 

Caitlin Mecure



Michelle Peixinho

Noelle Simmons

Mukta Khalsa

Special Projects Coordinator

 Carolyn Gamiao

Special Projects Coordinator

 Stephanie Gonzales

Administrative Assistant

Erin Martinez

Program Analyst 

Jeannie Kovacs

Communications Specialist 

Marina Pina

Compliance Monitor Tracker 

Krista Meastas


Markisha Atencio

Isabel Mendez-Guzman

Destiny Vigil

Mandie Vigil-Baca

Tyra Marquez

Carolina Palomino


External Resources

Northern New Mexico Resource Directory

El Centro Family Health 


Rio Arriba Health Commons

2010 Industrial Park Road
Espanola, NM 87532
505 753-3143


Executive Director Lauren Reichelt

Lauren Reichelt, Director of Health & Human Services at Rio Arriba County

RAHHS Department  

Phone: 505-753-3143

Fax: 505-753-1769

Main Location:

Rio Arriba Health Commons

2010 Industrial Park Rd, Española, NM 87532