New Mexico Medicaid Eligibility Requirements

If you are looking to apply for Medicaid in New Mexico** then read the information below. Though we try to provide accurate information please note this is for informational purposes. We recommend you contact your New Mexico Medicaid Office to verify these eligibility requirements.

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
The enrollee must be a New Mexico resident and a U.S. citizen or legal qualified alien.

Medicaid Income Requirements In New Mexico
This information is based on the Federal Poverty Level (FPL). These income guideline standards were effective starting January 1st, 2014.
Age 0-1 300% FPL
Age 1-5 300% FPL
Age 6-18 240% FPL

Pregnant Women
250% FPL

Parents 133% FPL
Other Adults 133% FPL
Is Medicaid Expanding? Yes

Documents You May Need
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.)

Medicaid Coverage In New Mexico
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.

**The information provided above is a general guideline when applying for New Mexico Medicaid. These guidelines can change from time to time, because of that we recommend that you contact your local Medicaid office in New Mexico to verify the latest eligibility requirments for Medicaid coverage in New Mexico.