New Mexico Medicaid, also known as Centennial Care, is a health insurance program that provides comprehensive coverage to eligible residents. It covers a wide range of medical services, including doctor visits, hospital stays, prescription drugs, mental health care, and substance abuse treatment. Medicaid also provides coverage for long-term care and home and community-based services for people with disabilities. In addition, Medicaid offers preventive care services such as immunizations, screenings, and health education. To qualify for Medicaid in New Mexico, individuals must meet certain income and eligibility requirements.
New Mexico Medicaid Coverage
New Mexico Medicaid provides comprehensive healthcare coverage to eligible individuals and families. The program covers a wide range of medical services, including doctor visits, hospital stays, prescription drugs, and mental health services. Medicaid also covers long-term care services, such as nursing home care and home health care.
Eligibility Requirements for New Mexico Medicaid
Eligibility for New Mexico Medicaid is based on several factors, including income, family size, and disability. To be eligible, individuals must meet all of the following requirements:
- Be a U.S. citizen or a qualified non-citizen.
- Reside in New Mexico.
- Meet income and asset limits.
- Be a member of a qualifying group, such as:
- Families with children.
- Pregnant women.
- Individuals with disabilities.
- Seniors aged 65 and older.
Income limits vary depending on family size and type of coverage. For example, in 2023, the income limit for a family of three to qualify for Medicaid is $3,121 per month.
Benefits Covered by New Mexico Medicaid
New Mexico Medicaid covers a wide range of medical services, including:
- Doctor visits
- Hospital stays
- Prescription drugs
- Mental health services
- Dental care
- Vision care
- Hearing aids
- Durable medical equipment
- Home health care
- Nursing home care
The exact services covered by Medicaid vary depending on the individual’s eligibility and the type of coverage they have.
Applying for New Mexico Medicaid
Individuals can apply for New Mexico Medicaid online, by mail, or in person at their local Human Services Department office. The application process is relatively simple and can be completed in a few minutes. Individuals will need to provide information about their income, assets, and family size. They will also need to provide proof of citizenship or legal residency.
Once an application is submitted, it will be reviewed by the Human Services Department. Individuals will be notified of their eligibility status within 45 days. If an individual is approved for Medicaid, they will receive a Medicaid card in the mail. This card can be used to access covered services.
| Family Size | Income Limit |
|---|---|
| 1 | $1,694 |
| 2 | $2,269 |
| 3 | $3,121 |
| 4 | $3,973 |
| 5 | $4,825 |
Covered Medical Services Under New Mexico Medicaid
Medicaid is a public health insurance program that provides coverage to low-income individuals and families. In New Mexico, Medicaid is administered by the Human Services Department (HSD). Medicaid covers a wide range of medical services, including:
- Doctor visits
- Hospital care
- Prescription drugs
- Mental health services
- Substance abuse treatment
- Dental care
- Vision care
- Hearing aids
- Durable medical equipment
- Home health care
- Long-term care
The following table provides more information about the covered medical services under New Mexico Medicaid:
| Service | Description |
|---|---|
| Doctor visits | Medicaid covers doctor visits for a variety of medical conditions, including checkups, sick visits, and specialist visits. |
| Hospital care | Medicaid covers hospital care for a variety of medical conditions, including inpatient and outpatient care. |
| Prescription drugs | Medicaid covers prescription drugs for a variety of medical conditions. |
| Mental health services | Medicaid covers mental health services for a variety of mental health disorders, including depression, anxiety, and schizophrenia. |
| Substance abuse treatment | Medicaid covers substance abuse treatment for a variety of substances, including alcohol, drugs, and tobacco. |
| Dental care | Medicaid covers dental care for a variety of dental conditions, including cleanings, fillings, and extractions. |
| Vision care | Medicaid covers vision care for a variety of vision conditions, including eyeglasses, contact lenses, and eye exams. |
| Hearing aids | Medicaid covers hearing aids for a variety of hearing conditions. |
| Durable medical equipment | Medicaid covers durable medical equipment for a variety of medical conditions, including wheelchairs, walkers, and hospital beds. |
| Home health care | Medicaid covers home health care for a variety of medical conditions, including skilled nursing care, physical therapy, and occupational therapy. |
| Long-term care | Medicaid covers long-term care for a variety of medical conditions, including nursing home care and assisted living care. |
Medicaid also covers a variety of other medical services, including transportation to medical appointments, interpreter services, and case management services. For more information about the covered medical services under New Mexico Medicaid, please visit the HSD website or contact your local Medicaid office.
Applying for New Mexico Medicaid
Applying for Medicaid in New Mexico is a simple process that can be done online, by mail, or in person. To apply online, visit the New Mexico Human Services Department (HSD) website and click on the “Apply for Benefits” link.
- You will need to create an account and provide your personal information, including your name, address, date of birth, and Social Security number.
- You will also need to provide information about your income and assets.
- Once you have completed the online application, you will need to submit it to HSD.
You can also apply for Medicaid by mail or in person at your local HSD office.
If you are approved for Medicaid, you will receive a Medicaid card in the mail. This card will allow you to use Medicaid benefits to pay for covered medical expenses.
Medicaid covers a wide range of medical services, including:
- Doctor’s visits
- Hospital care
- Prescription drugs
- Dental care
- Vision care
- Mental health care
Medicaid also covers long-term care services, such as nursing home care and home health care.
To find out more about what Medicaid covers, visit the HSD website or contact your local HSD office.
| Household Size | Annual Income Limit |
|---|---|
| 1 | $17,655 |
| 2 | $23,708 |
| 3 | $29,762 |
| 4 | $35,815 |
New Mexico Medicaid Coverage and Contact Information
New Mexico Medicaid, known as Centennial Care, offers comprehensive healthcare coverage to eligible residents. Here’s a brief overview of the services provided and how to contact the program.
Covered Services by New Mexico Medicaid
- Medical Care: Medicaid covers doctor visits, hospitalizations, specialist consultations, and other necessary medical services.
- Prescription Drugs: Eligible individuals receive prescription drug coverage through the Medicaid program.
- Mental Health Services: Medicaid covers mental health treatment, including therapy, counseling, and medication management.
- Substance Abuse Treatment: Medicaid provides substance abuse treatment and rehabilitation services to help individuals overcome addiction.
- Dental Services: Medicaid covers dental checkups, cleanings, and certain dental procedures, though coverage may vary.
- Maternity Care: Medicaid provides comprehensive maternity care, including prenatal care, labor and delivery, and postpartum care.
- Vision Care: Medicaid covers vision exams and necessary eyeglasses or contact lenses.
- Long-Term Care: Medicaid provides coverage for long-term care services, such as nursing home care and home health care, for eligible individuals.
Contacting New Mexico Medicaid
To apply for Medicaid in New Mexico or inquire about your eligibility, coverage, or services, you can contact the program:
- Online: Visit the New Mexico Medicaid website at http://www.yes.state.nm.us to apply online or find more information.
- By Phone: You can call the New Mexico Medicaid Customer Service Line at 800-432-4151 to speak with a representative.
- In Person: You can visit a local Human Services Department (HSD) office to apply for Medicaid in person. Find the nearest office location at https://www.hsd.state.nm.us/locations.
| Method | Contact Details |
|---|---|
| Online | www.yes.state.nm.us |
| Phone | 800-432-4151 |
| In Person | Local Human Services Department (HSD) Office |
For additional assistance or questions, you can contact the New Mexico Medical Assistance Division at 505-476-6200.
Well, that about covers it! Thanks for hanging out with me while we talked about what New Mexico Medicaid covers. I hope you found this article helpful and informative. If you have any more questions, be sure to check out the New Mexico Medicaid website or give them a call. And don’t forget to come back later for more interesting and informative articles just like this one. See you soon!