Eligibility for Medicaid in New Mexico is determined by household size and income. The income limit is set at 138% of the federal poverty level. This means that a household of four can earn up to $36,156 per year and still qualify for Medicaid. The income limit is higher for households with more members. For example, a household of eight can earn up to $64,660 per year and still qualify for Medicaid.
Medicaid Eligibility Requirements in New Mexico
Medicaid is a government-sponsored health insurance program that provides coverage to low-income individuals and families. In New Mexico, Medicaid eligibility is based on income, household size, and other factors. To be eligible for Medicaid in New Mexico, you must meet the following requirements:
- Be a New Mexico resident.
- Be a U.S. citizen or a qualified non-citizen.
- Have a Social Security number.
- Meet the income and asset limits.
- Not be eligible for Medicare.
Income Limits
The income limit for Medicaid in New Mexico varies depending on your household size and whether you are pregnant or have a disability. The following table shows the income limits for Medicaid in New Mexico:
| Household Size | Income Limit |
|---|---|
| 1 | $1,441 |
| 2 | $2,092 |
| 3 | $2,742 |
| 4 | $3,393 |
| 5 | $4,044 |
| 6 | $4,694 |
| 7 | $5,345 |
Other Eligibility Factors
In addition to meeting the income and asset limits, you must also meet other eligibility factors to qualify for Medicaid in New Mexico. These factors include:
- Being a pregnant woman.
- Being a child under the age of 19.
- Being a parent or caretaker of a child under the age of 19.
- Being disabled.
- Being elderly (age 65 or older).
Applying for Medicaid
To apply for Medicaid in New Mexico, you can complete an online application or submit a paper application. You can also apply for Medicaid through your local Human Services Department office. For more information on how to apply for Medicaid in New Mexico, please visit the New Mexico Human Services Department website.
Medicaid Income and Asset Limits in New Mexico
Medicaid is a joint federal and state health insurance program that provides coverage for people with low incomes and resources. In New Mexico, Medicaid eligibility is determined by both income and asset limits.
Income Limits
To qualify for Medicaid in New Mexico, your income must be below certain limits. The income limits are based on the federal poverty level (FPL). For 2023, the FPL is $13,590 for a single person and $27,750 for a family of four.
The Medicaid income limits in New Mexico are as follows:
- Single adults: up to 138% of the FPL ($18,718)
- Pregnant women: up to 185% of the FPL ($25,143)
- Children under 19: up to 200% of the FPL ($27,180)
- Parents/caretakers of children under 19: up to 185% of the FPL ($25,143)
- People with disabilities: up to 138% of the FPL ($18,718)
- People over 65: up to 138% of the FPL ($18,718)
If your income is above these limits, you may still be eligible for Medicaid if you have high medical expenses. This is called “spenddown.”
Asset Limits
In addition to income limits, Medicaid also has asset limits. Assets are things you own, such as cash, bank accounts, stocks, and bonds. The asset limits for Medicaid in New Mexico are as follows:
- Single adults: up to $2,000
- Married couples: up to $3,000
- People with disabilities: up to $4,000
- People over 65: up to $4,000
If your assets are above these limits, you may still be eligible for Medicaid if you are willing to “spend down” your assets. This means spending your assets on medical expenses or other allowable expenses until you reach the asset limit.
Note: The income and asset limits for Medicaid in New Mexico are subject to change each year. For the most up-to-date information, please visit the Medicaid website.
In addition, some people who do not meet the income or asset limits may still be eligible for Medicaid if they meet certain other requirements. For example, pregnant women and children under 19 may be eligible for Medicaid regardless of their income or assets.
| Category | Income Limit | Asset Limit |
|---|---|---|
| Single adults | 138% of FPL ($18,718) | $2,000 |
| Pregnant women | 185% of FPL ($25,143) | $2,000 |
| Children under 19 | 200% of FPL ($27,180) | $2,000 |
| Parents/caretakers of children under 19 | 185% of FPL ($25,143) | $2,000 |
| People with disabilities | 138% of FPL ($18,718) | $4,000 |
| People over 65 | 138% of FPL ($18,718) | $4,000 |
Medicaid Programs in New Mexico
Medicaid is a government-funded health insurance program that provides coverage to low-income individuals and families. In New Mexico, Medicaid is administered by the Human Services Department (HSD).
Eligibility
To be eligible for Medicaid in New Mexico, you must meet certain income and asset requirements. The income limit for Medicaid in New Mexico varies depending on the type of Medicaid program you are applying for. The asset limit is more straightforward, it is the same across all Medicaid programs in the state. The asset limit is $2,000 for individuals and $3,000 for couples.
Types of Medicaid Programs in New Mexico
- Medicaid for Children and Pregnant Women: This program provides coverage to children under the age of 19 and pregnant women. There is no income limit for this program. Children are automatically eligible if they are enrolled in the Supplemental Nutrition Assistance Program (SNAP) or Temporary Assistance for Needy Families (TANF).
- Medicaid for Adults: This program provides coverage to adults between the ages of 19 and 64 who meet certain income and asset requirements. In general, to be eligible for Medicaid for Adults, adults with dependent children must earn less than 138% of the federal poverty level (FPL), and other adults must earn less than 100% of the FPL.
- The Medicaid Expansion Population: In 2014, New Mexico expanded Medicaid eligibility to adults up to 138% of the federal poverty level. This expansion was made possible by the Affordable Care Act.
- Medicaid for People with Disabilities: This program provides coverage to people with disabilities of all ages. There is no income limit for this program.
- Medicaid for People Aged 65 and Older: This program provides coverage to people aged 65 and older who meet certain income and asset requirements. People can qualify for this program if their income is below 300% of the Supplemental Security Income (SSI) federal benefit rate.
In addition to these programs, New Mexico also offers a number of other Medicaid programs, including programs for people with specific medical conditions, such as HIV/AIDS.
Applying for Medicaid in New Mexico
- If you are interested in applying for Medicaid in New Mexico, you can do so online or by mail. You can also apply in person at your local Human Services Department office.
- The application process for Medicaid is relatively simple. You will need to provide information about your income, assets, and household members.
Updating Your Medicaid Information
- It is important to update your Medicaid information if your income, assets, or household members change. You can do this online or by mail. Failure to update your information may result in the termination of your Medicaid benefits.
Medicaid Income Limit Table
| Medicaid Program | Income Limit |
|---|---|
| Medicaid for Children and Pregnant Women | No income limit |
| Medicaid for Adults | 138% of the federal poverty level (FPL) for adults with dependent children; 100% of the FPL for other adults |
| The Medicaid Expansion Population | 138% of the federal poverty level (FPL) |
| Medicaid for People with Disabilities | No income limit |
| Medicaid for People Aged 65 and Older | 300% of the Supplemental Security Income (SSI) federal benefit rate |
Note: The income limits listed in the table above are subject to change. Please visit the New Mexico Human Services Department website for the most up-to-date information.
Applying for Medicaid in New Mexico
To apply for Medicaid, visit the New Mexico Human Services Department website or submit an application online. You can also apply offline by mailing the application form, available from your local Human Services Department office. If you have difficulty completing the application, call the Help Desk for assistance. Medicaid approval takes about 30 days to process.
Eligibility Requirements for Medicaid in New Mexico
- Proof of income, such as pay stubs, tax forms, or bank statements.
- Proof of assets, such as bank accounts, investments, and real estate.
- Proof of identity, such as a birth certificate or driver’s license.
- Proof of residence in New Mexico, such as a utility bill or lease agreement.
- Proof of disability (if applying for disability-related Medicaid).
Income Limits for Medicaid in New Mexico
To qualify for Medicaid in New Mexico, your income must be below specific limits. The income limits are based on the federal poverty level (FPL). For 2023, the FPL is $13,590 for a single person and $27,750 for a family of four.
| Family Size | Income Limit |
|---|---|
| 1 | $16,911 |
| 2 | $22,619 |
| 3 | $28,327 |
| 4 | $34,035 |
If your income is above the income limits, you may still qualify for Medicaid if you meet other eligibility requirements. For example, you may qualify if you are pregnant, disabled, or responsible for a child under 19.
Well, folks, that about covers it for our little Medicaid income limit expedition in the Land of Enchantment. If you’re looking to learn more about how to apply for Medicaid or other health insurance options in New Mexico, I highly recommend giving the state’s Human Services Department a call. They’re super friendly and knowledgeable, and they’ll be more than happy to help you out. Thanks for taking the time to read, and be sure to swing by again soon for more informative tidbits. Until next time, keep your spirits high and your medical bills low!