Often asked: New Mexico Medicaid How To?

What is the income limit to qualify for Medicaid in New Mexico?

As of January 2021, the maximum annual income for a household of one is $16,971 before taxes. The limit increases with each additional person in the household, as displayed below. For households with more than eight people, the limit increases by $5,958 for each additional person.

How does New Mexico Medicaid work?

New Mexico Medicaid covers medical services, prescription drugs, dental, vision, mental health, long-term care, some home health benefits, and transportation services. Most people with NM Medicaid will not owe any money out of pocket.

What is NM Medicaid called?

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.

How do I contact Medicaid in New Mexico?

For more information, please call the Medicaid Member Services Call Center at 1-888-997-2583. If you were recently approved for Medicaid, please allow up to 72 hours for your eligibility to display in the Medicaid Web Portal.

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What is considered low income in NM?

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.

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.

How do you qualify for emergency Medicaid?

You may qualify for Emergency Medicaid if you meet the eligibility requirements for full Medicaid but do not qualify due to your immigration status. To qualify, you must: Meet income requirements (have low-income). Be a NYS resident (temporary lawful residents do not have to meet the State residency requirement).

What is covered by Medicaid?

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.

How do you check if my Medicaid is active?

Verify your enrollment online Log in to your HealthCare.gov account. Click on your name in the top right and select “My applications & coverage” from the dropdown. Select your completed application under “Your existing applications.” Here you’ll see a summary of your coverage.

Can I use my New Mexico Medicaid in another state?

Can I use my Medicaid coverage in any state? A: No. Because each state has its own Medicaid eligibility requirements, you can’t just transfer coverage from one state to another, nor can you use your coverage when you’re temporarily visiting another state, unless you need emergency health care.

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How do I change my Medicaid plan in New Mexico?

Requests to change your MCO must be sent in writing to: Santa Fe, NM 87504. For more information, please call the Medicaid Member Services Call Center at 1-888-997-2583.

How can I find Medicaid number?

Your Medicaid number also known as a recipient number or individual number is a 9-digit number than can be found on the ‘Your Texas Benefits’ card. Doctors and pharmacies use this number for billing. Your case number is a 10-digit number that HHSC uses to bundle and process benefits you receive through their agency.

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.

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