New Mexico Medicaid Eligibility Requirements
This page provides general guidelines for the New Mexico Medicaid eligibility requirements. This is an assistance program that provides medical coverage for low-income people of all ages. The department that handles the Medicaid program is New Mexico Department of Human Services. If you have questions or issues about the Medicaid application or the eligibility requirements, contact the New Mexico Medicaid office.
New Mexico Medicaid Overview
The Medicaid program is a federal and state funded program that serves needy individuals and families who meet financial and other eligibility requirements and certain other individuals who lack adequate resources to pay for medical care.
New Mexico Medicaid Eligibility Requirements - Non Income
The enrollee must be a New Mexico resident and a U.S. citizen or legal qualified alien.
Documents Needed For New Mexico Medicaid Application
- Proof of identity
- Proof of citizenship/immigration status
- Proof of residency in New Mexico
- Proof of income/assets
- Proof of Social Security Number or application for SSN
- Proof of age
- Proof of other insurance
- Proof of pregnancy (If you are pregnant)
- Proof of Disability (If you are disabled)
- Proof of expenses for various costs (Medical, child care, etc.)
New Mexico Medicaid Benefits
Benefits include but are not limited to hospital care (inpatient and outpatient); nursing home care, physician services; laboratory and x-ray services; immunizations and other early and periodic screening, diagnostic, and treatment (EPSDT) services for children; family planning; health centers (FQHC) and rural health clinics (RHC); nurse midwife and nurse practitioner services.
New Mexico Medicaid & CHIP Eligibility Levels
Below is the modified adjusted gross income (MAGI) eligibility levels for New Mexico Medicaid and Children's Health Insurance Program (CHIP).
Eligibility Levels - By Percentage Of Federal Poverty Level (FPL)
| Medicaid Expansion | Medicaid Children | Separate CHIP | Pregnant Women | Parents | Other Adults | |||
|---|---|---|---|---|---|---|---|---|
| Yes |
|
N/A | Medicaid: 250% CHIP: N/A |
133% | 133% |
Eligibility Levels - Individual By Monthly Income
| Medicaid Expansion | Medicaid Children | Separate CHIP | Pregnant Women | Parents | Other Adults | |||
|---|---|---|---|---|---|---|---|---|
| Yes |
|
N/A | Medicaid: N/A CHIP: N/A |
$1,293 | $1,293 |
Eligibility Levels - Family Of Two By Monthly Income
| Medicaid Expansion | Medicaid Children | Separate CHIP | Pregnant Women | Parents | Other Adults | |||
|---|---|---|---|---|---|---|---|---|
| Yes |
|
N/A | Medicaid: $3,277 CHIP: N/A |
$1,743 | $1,743 |
Eligibility Levels - Family Of Three By Monthly Income
| Medicaid Expansion | Medicaid Children | Separate CHIP | Pregnant Women | Parents | Other Adults | |||
|---|---|---|---|---|---|---|---|---|
| Yes |
|
N/A | Medicaid: $4,123 CHIP: N/A |
$2,193 | $2,193 |
Eligibility Levels - Family Of Four By Monthly Income
| Medicaid Expansion | Medicaid Children | Separate CHIP | Pregnant Women | Parents | Other Adults | |||
|---|---|---|---|---|---|---|---|---|
| Yes |
|
N/A | Medicaid: $4,969 CHIP: N/A |
$2,643 | $2,643 |
