% There are different categories of MAGI Medicaid. The income requirements for Medicaid in New Mexico will depend on the category of Medicaid that a candidate qualifies to receive. Official websites use .gov State of New Mexico Centennial Care 2.0 1115 Waiver Amendment #2 Request March 1, 2021 Page 6 . (2) SSI medicaid extension - Categories 001, 003 and 004: MAD provides coverage for certain groups of applicants or eligible recipients who have received supplemental security income (SSI) benefits and who have lost the SSI benefits for specified reasons listed below and pursuant to 8.201.400 NMAC: The term 1937 Medicaid Benchmark or Benchmark Equivalent Plan has been retitled to Alternative Benefit Plans. y&=~[[0Qtz%Xi_0bu`1lmy2"CRUu){>BJI74[wd( ?||yeBzm ~I.z!60SFaq/o>g#w0K%8D] h/wKC=dlc=hXun=$ 6201 Centennial Blvd. Ay\lSO{T8aC7X;?|?ov! TITLE 8 SOCIAL SERVICES. For instance, those requesting preventative services may face some out-of-pocket expenses. Income is counted differently when only one spouse applies for Regular Medicaid / Aged Blind and Disabled; The income of both the applicant and non-applicant spouse is calculated towards the applicants income eligibility. New Mexico has a 60-month (5 year) Medicaid Look-Back Period for Nursing Home Medicaid and Medicaid Waivers that immediately precedes ones application date. Most people with NM Medicaid will not owe any money out of pocket. To apply by mail,click hereto download the English application, orclick hereto download the Spanish application. Equity interest is the amount of the homes equity that is owned by the applicant. 1-855-592-7737 (TTY 711). The MMMNA in NM is $2,289 / month (effective 7/1/22 6/30/23). gross income (MAGI). The MAGI-conversion process involved a translation of pre-2014 net income eligibility standards into . After completing the three-week Step-Up challenge, youll receive your $25 reward value and will be invited to the 9-week challenge. This table does not include notations of states that have elected to provide CHIP coverage of unborn children from conception to birth. 34, No. The MMMNA is said to be the minimum amount of monthly income to which a non-applicant is entitled. In New Mexico, Medicaid is called Centennial Care. The actual process of determining eligibility . Qualified Medicare Beneficiary (QMB) Program | CMS Most Medicaid eligibility and all CHIP eligibility is based on modified adjusted In 2023, the Gift Tax Rule allows one to gift up to $17,000 per recipient without filing a gift tax return. The links below give basic information about these eligibility categories. As of December 2019, has enrolled 985,201 individuals in Medicaid and CHIP a net increase of 57.29% since the first Marketplace Open Enrollment Period and related Medicaid program changes in October 2013. The plan includes physical health, behavioral health, and long-term care services. 2) Program of All-Inclusive Care for the Elderly (PACE) Combines the benefits of Medicaid, including long-term care, and Medicare into a single program. New Mexico Medicaid members can receive up to the following rewards from Centennial Care in 2019: $20 value for completing a diabetes nephropathy exam for kidney health. Lock The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user. The MAD website has helpful links,including this information on dental programs. These services not covered by Medicaid include: To learn more about services that are not covered by Medicaid and more, download our free guide today. $wB>H]HHnDq~~v{^/-t?>Wg> G>W}o &" >@2Jr ?+cI:. 3) Medicaid Planning The majority of persons considering Medicaid are over-income and / or over-asset, but they still cannot afford their long-term care costs. Regulations forCentennial Careare promulgated by the Human Services Department andMedical Assistance Division. Medicaid provides free health insurance to individuals who qualify based on income and family size. By creating a Yes NM account, you can apply for benefits, check your application status, or renew your benefits for Medicaid, SNAP, TANF (cash assistance), and LIHEAP (energy assistance). When you register for the 3-week challenge, you will also receive a free pedometer. For the eligibility groups reflected in the table, an individuals income, computed using the Modified Adjusted Gross Income (MAGI)-based income rules described in 42 CFR 435.603, is compared to the income standards identified in this table to determine if they are income eligible for Medicaid or CHIP. Regulations for New Mexico's Medicaid programs are promulgated by the federal department of health and . In federal fiscal year (FFY) 2019, reported of 24 frequently reported health care quality measures in the CMS Medicaid Adult Core Set. New Mexico Medicaid (Centennial Care) and Yes NM Guide The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network. The Presbyterian Centennial Care plan can do that. How To Qualify For Medicaid In NM - Medicaid-guide.org 397 0 obj <> endobj Section 8.200.400.14 - RETROACTIVE MEDICAID, N.M. Code R. - Casetext Compare plans in your area.Just enter your zip code. 'A( $xy}E_wQGOOgBd9quy==5]{0JPR^ZR2|?4s!.dKw / Based on ones living setting, a program beneficiary may not be able keep monthly income up to this level. 6, March 28, 2023. hbbd```b``"H9 DLH`-0&UE$dd7nL2`[)!@ /c ] This site is for information purposes; it is not a substitute for professional legal advice. Countable vs. Non-Countable Income Version Including Medicaid and Children with Chronic Conditions Supplemental Items (CPC-CH) or the Central Line-associated Bloodstream Infection (CLABSI-CH) measures. An applicant must have a medical need for Medicaid long-term care. . 576 0 obj <> endobj 4. Edit your hsd 100 online. The following table provides a more detailed view of 's In federal fiscal year (FFY) 2019, reported of 22 frequently reported health care quality For these persons, Medicaid planning exists. Medicare Plan Finder makes it easy for anyone to find the best Medicare plans to fit their needs. There is no CSRA for Regular Medicaid. hb```b````a`ag@ ~f(,FS%) Hch`!A(f`eXQ$.AN|D9;O Hs00vn d`'el \` q Applying for Centennial Care can be a complicated, confusing, and lengthy process. PDF January 2021 NEW MEXICO MEDICAL ASSISTANCE PROGRAMS Eligibility Categories Enrollment, Total Medicaid & CHIP Enrollment (Preliminary), Net Change in Enrollment July-September 2013, % Change in Enrollment July-September 2013. Other eligibility criteria also apply, for example, with respect to citizenship, immigration status and residency. The technical storage or access that is used exclusively for anonymous statistical purposes. This includes cash, stocks, bonds, investments, bank accounts (credit union, savings, and checking), IRAs / 401Ks, real estate in which one does not reside, and any remaining funds from Covid-19 stimulus checks. More. Powered by Medicare Health Benefits. Some services may be subject to co-payments, these co-payments can be as little as 50 cents ($0.50). The links below give basic information about these eligibility categories. Most applicants qualify for full benefits only if their income falls below 185 percent of the Federal Poverty Level Guidelines. Medicaid is a health care program for low-income individuals of all ages. For example, to qualify for children's Medicaid, a candidate who is between six and 19 years of age must be part of a household with an income that does not exceed 190 percent of the federal poverty level (FPL). of 22 frequently reported health care quality eligibility verifications plans, MAGI Conversion Plans We help Medicare beneficiaries maximize their benefits. PDF New Mexico Medicaid Checklist: Alternative Benefit Plan Exemption This plan focuses on breaking down the financial, cultural, and linguistic barriers preventing low-income families and individuals from accessing health care. endobj Medicaid is a public, or government run, form of health . Medicaid eligibility and enrollment in New Mexico Want to learn about who we are? Medicaid SLMB Program (Specified Low-income Medicare Beneficiary) While officials attempt to keep Medicaid cost estimates low, in some cases there are costs to the recipient. Thus, 8% of the NM Medicaid population was experiencing SMI/SED at the start of the demonstration. Reproduction or republication strictly prohibited without prior written permission. New Mexico Medicaid cost estimates are kept as low as possible to help applicants with limited income. SUhb~S)_GU3b (U6 Information about performance on frequently-reported health care quality measures in the You can download our free guide to learn more about services covered by Medicaid. Medicaid and EMSNC) A Notification of Birth (NOB) MAD 313 form may act as an application, if submitted to HSD by the Medical service provider where the birth occurred proving citizenship The infant continues to reside in New Mexico Category 100 - Other Adults Alternative Benefit Package Income must be under 133% FPL Homeland Security and Labor) rather than paper documentation from families for New Mexico State Health Insurance Assistance Program (SHIP) 18004322080. Please contact Medicare.gov or 1800MEDICARE to get information on all of your options. This site is privately owned and is not affiliated with any government agency. When a state did not report a measure or used non-Core Set specifications, the measure is not included below or in the count of measures reported by the state. 1) New Mexico Centennial Care Community Benefit Intended to encourage independent living at home or in the community, a variety of supportive services are provided. For additional program information or for assistance, ISD Customer Service Center can be reached at 1-800-283-4465. Need help sorting through your options? The table below presents the most recent, point-in-time count of total Medicaid and CHIP enrollment in for the last day of the indicated month, and is not solely a count of those newly enrolled during the reporting period. However, in 2023, a spousal income allowance cannot put a non-applicants monthly income over $3,715.50.This is the Maximum Monthly Maintenance Needs Allowance. In federal fiscal year (FFY) 2019, voluntarily reported 15 Medicaid - New Mexico State Dental CHIP enrollment in for the last day of Following the death of the Medicaid participant or in the event of Medicaid disenrollment, the remainder of the funds must be paid to the state of New Mexico. and get either full Medicaid coverage or SSI benefits. What Is Medicare? 1) Institutional / Nursing Home Medicaid This is an entitlement program; anyone who is eligible will receive assistance. Parents and caretaker relatives with income over the income standard for coverage under this group may be eligible for coverage in the adult group in states that have expanded to cover the adult group. Heres how you know. eligibility verifications plans, MAGI Conversion Plans It is funded in part under a contract with the State of New Mexico. The Centennial Care program is managed through four plans in 2019: BlueCross BlueShield of New Mexico, Western Sky Community Care, Presbyterian Health Plan, and UnitedHealthcare Community Plan of New Mexico. Medicare Plan Finder is a nationally licensed insurance agency based in Nashville, TN & Tucson, AZ. %%EOF 3 0 obj These counts do not include the Consumer Assessment of Healthcare Providers and Systems (CAHPS) Health Plan Survey 5.0H, Adult Version (Medicaid) (CPA-AD) measure. )[{)& yKI\;{{_ 9 RA7fk2\`R/l'" 0jiDQc7Q_Sw-~wa*h;P8\8BhcjqMp &8 .d1olW}uOquwycGO|?=Q7a(PO~t][ Source: Medicaid In 2023, the community spouse (the non-applicant spouse) can retain 50% of the couples joint assets, up to a maximum of $148,620. A number of states, which have bought in for all of . MAGI Medicaid for Adults, Children, and Families - LCDJFS MedicaidPlanningAssistance.org is a free service provided by the American Council on Aging, *All of ones monthly income with the exception of a, What is the Medicaid Estate Recovery Program, Minimum Monthly Maintenance Needs Allowance, Learn more about calculating the spousal allowance, New Mexico Centennial Care Community Benefit, Program of All-Inclusive Care for the Elderly, local Human Services Department (HSD) Income Support Division (ISD) office, 2023 New Mexico Medicaid Long-Term Care Eligibility for Seniors, $2,000 for applicant & $148,620 for non-applicant, Medicaid Waivers / Home and Community Based Services, Regular Medicaid / Aged Blind and Disabled. There is, however, a Community Spouse Resource Allowance (CSRA) that protects a larger amount of a couples countable assets for a non-applicant spouse of a Nursing Home Medicaid or Medicaid Waiver applicant. The COE - there are multiple COEs that offer full Medicaid benefits including, but not limited to: 001, 003, 004 - SSI Categories . -u!EDR'XW{{ik} uUR4avmF:5Si%2P=9^eK\T-U{PIKXh~$n;# *MP([](qy[u3 2*Km@HQ@J0RWn*Q<0%8wo#WK%&9%oPc sj9 .WiNXQuuH endstream endobj 212 0 obj <. Each medicaid and medical assistance program includes detailed eligibility requirements which are organized into the following three chapter types: (1) recipient requirements (.400); (2) income and resources standards (.500); and (3) %PDF-1.7 The coverage benefits of Medicaid include a range of services that are mandatory across the nation and in New Mexico. Some recipients receive exemptions from every paying copayments or other expenses associated with coverage. 0C`Pd`N{y|qlJSDCsFGGc> f`:t H- F Vl&U Indian Health Service dental providers are restricted to Native American recipients. The various types of Medicaid insurance and coverage available to petitioners extends across a range of services, but also excludes coverage for other types of services. More on how Medicaid calculates income. 2019 Centennial Care Rewards. more of the targeted enrollment strategies outlined in guidance CMS issued on May 17, 2013, hbbd```b``:"gI~,fH*0)&IfI!0D IEL@$30*0 - 595 0 obj <>/Filter/FlateDecode/ID[<35ADB07DE3CDC849A1801818DC5B6C63>]/Index[576 64]/Info 575 0 R/Length 91/Prev 69601/Root 577 0 R/Size 640/Type/XRef/W[1 2 1]>>stream More detailed information and source references are available on each of these topics. While there are many different coverage groups, this page is focused on long-term care Medicaid eligibility for New Mexico elderly residents, aged 65 and over.