FAQ: What Does New Mexico Medicaid Cover?

What is Medicaid called in New Mexico?

Centennial Care is the name of the New Mexico Medicaid program. Centennial Care began on January 1, 2014 with services provided by four managed care organizations (MCOs). These services include physical health, behavioral health, long-term care and community benefits.

What things does medicaid cover?

Mandatory benefits include services including inpatient and outpatient hospital services, physician services, laboratory and x-ray services, and home health services, among others. Optional benefits include services including prescription drugs, case management, physical therapy, and occupational therapy.

Does New Mexico have expanded Medicaid?

On January 1, New Mexico implemented Medicaid Expansion for adults age 19-64 with income at or below 138%. Most adults who are eligible for NM’s Medicaid Expansion receive services through Centennial Care.

What is considered low income in New Mexico?

Statewide, approximately 47% of households are considered low income, earning less than 80% of Area Median Income (AMI) annually, and more than 29% are very low income, earning less than 50% of AMI annually.

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What are the 4 types of Medicaid?

If you meet income, asset, and other guidelines in your state, you may qualify for one of the following Medicaid programs: Aged, blind, and disabled (ABD) Medicaid: Beneficiaries with ABD Medicaid have coverage for a broad range of health services, including doctors’ visits, hospital care, and medical equipment.

How much is Medicaid a month?

Income requirements: For Medicaid coverage a single adult is capped $1,468 per month and families of four can make $3,013 per month. Single aged or disabled adults over 65 have an income cap of $836 and $1,195 for couples.

What are the disadvantages of Medicaid?

Disadvantages of Medicaid

  • Lower reimbursements and reduced revenue. Every medical practice needs to make a profit to stay in business, but medical practices that have a large Medicaid patient base tend to be less profitable.
  • Administrative overhead.
  • Extensive patient base.
  • Medicaid can help get new practices established.

How much money do you need to live comfortably in New Mexico?

The income needed to live comfortably in New Mexico is $42,445. 50% of this is for necessities, 30% is for discretionary spending, and 20% is for savings. According to Living Wage, a single person with no children can live off of $13.97 per hour in Mexico, or $26,880 a year.

Can I get Medicaid if I live with someone?

When applying for Medicaid you include your spouse and all dependents regardless of whether or not they need health insurance. If you have a specific question regarding whether or not someone is part of your household, you can also contact your county Medicaid office and ask.

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What is needed to qualify for Medicaid?

Medicaid beneficiaries generally must be residents of the state in which they are receiving Medicaid. They must be either citizens of the United States or certain qualified non-citizens, such as lawful permanent residents. In addition, some eligibility groups are limited by age, or by pregnancy or parenting status.

How many people are on Medicaid in NM?

Total Medicaid and CHIP enrollment in New Mexico was 772,102 in June 2020.

What states do not have Medicaid?

Nonexpansion states include 12 states that have not expanded Medicaid: Alabama, Florida, Georgia, Kansas, Mississippi, North Carolina, South Carolina, South Dakota, Tennessee, Texas, Wisconsin, and Wyoming.

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