sources (for example, the Social Security Administration, the Departments of New Mexico's Medicaid program is called Centennial Care. To qualify for an MSP, you first need to be eligible for Part A. While persons residing in Medicaid-funded nursing homes are permitted to have monthly income as high as $2,523 in 2022 (in most states), they are not permitted to keep all of it. ?)OaB@x3O/,JP)2 (NhN 0;A f Eligibility for 2022: 1. January-All Children under 21 by Managed Care Organization - FFS. 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. Countable assets include cash, stocks, bonds, investments, credit union, savings, and checking accounts, and real estate in which one does not reside. endobj Persons can apply online at Yes New Mexico, over the phone at 1-855-637-6574, or download an application. has expanded States have the option to cover pregnant women under CHIP. 16 0 obj 2022 Monthly Income Limits for Medicare Savings Programs. endobj A rule of thumb is that the monthly income limit is between 100% and 300% of the federal poverty level. In basic terms, ones excess income (over the Medicaid limit) is directly deposited into the irreversible trust, no longer counting towards Medicaids income limit. The table below presents the most recent, point-in-time count of total Medicaid and When a state did not report a measure or used non-Core Set specifications, the measure is not An official website of the United States government The following populations are eligible for Medicaid in New Mexico (the limits below include a built-in 5% income disregard that's used for MAGI -based Medicaid eligibility): Adults with household incomes up to 138% of poverty. The MMMNA is said to be the minimum amount of monthly income a non-applicant requires to avoid poverty. 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, The limit increases with each additional person in the household, as displayed below. Use of this content by websites or commercial organizations without written permission is prohibited. 40,752,398 individuals were enrolled in CHIP or were children enrolled in the Medicaid program in the . 1/12/2022 Emergency Medical Services for Non-Citizens (EMSNC) 5 EMSNC General Eligibility Policy The NM Medicaid program provides coverage of EMSNC for certain non-citizens who are undocumented or who do not meet the qualifying immigration criteria specified in NMAC 8.200.410. change in enrollment since the initial open of the Health Insurance Marketplaces, As of 2022, the annual FPL for an individual is $13,590 ($1,133 / month), and for a married couple is $18,310 ($1,526 / month). As usual, enrollment figures varied widely by state. w"@yjw3#Xy8>qCfKa~{.gvh~RkpGa0;@;"sg1WP@=Wf 'sp 9,%nFh9DC1l. $@SGiQQw[I s 7Ea(O|dX~ c n _ B|$Ao*lpZmQ~FOk!tO~X"X4koBq,dGLIQSOz The first is through "full coverage" Medicaid, which is state plan Medicaid. Seniors who are uncertain, or have income and / or assets over the limit(s), should consider Medicaid planning for the best chance of acceptance into the Medicaid program. For more information on eligibility please read Eligibility Pamphlet 4 0 obj If you are unsure if you or your organization are already enrolled in the New Mexico Medicaid program, please use the Provider Search tool to verify status. Version Including Medicaid and Children with Chronic Conditions Supplemental Items (CPC-CH) or the Central Line-associated Bloodstream Infection (CLABSI-CH) measures. endobj If a Medicaid applicant, or even their non-applicant spouse, violates the look-back period, there will be a period of Medicaid ineligibility for the applicant. <> To qualify, you must meet the New Mexico Medicaid Income limits listed below. for one of the eligibility categories. 2. Create an account now to apply for and access your status. Exemptions include personal belongings, household furnishings, an automobile, and burial accounts (limited to $1,500 if not prepaid and irrevocable). voluntarily reported 15 of 24 frequently reported health care quality measures in <> Holocaust survivor reparations and COVID-19 stimulus checks are not counted as income. Learn more about how states Homeland Security and Labor) rather than paper documentation from families for Levels vary based on the category of eligibility, but all are calculated as a percentage of the Federal Poverty Guidelines (FPL), which are established by the United States Department of Health and Human Services. Any income that a Medicaid applicant receives is counted towards Medicaids income limit. There are several different Medicaid long-term care programs for which New Mexico seniors may be eligible. for Medicaid Eligibility Reports requests prior to 2019. Medicaid is a joint federal and state program that, together with the Children's Health Insurance Program (CHIP), provides health coverage to over 72.5 million Americans, including children, pregnant women, parents, seniors, and individuals with disabilities. 3) Regular Medicaid / Aged Blind and Disabled This is an entitlement program; Anyone who is eligible will receive assistance. of 22 frequently reported health care quality <> CHIP enrollment in for the last day of 4. There are also many assets that Medicaid considers exempt (non-countable). 3 0 obj eligibility verifications plans, MAGI Conversion Plans 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. Residency and Citizenship - the applicant must be a New Mexico resident and a U.S. citizen or have proper immigration status. <>/Metadata 523 0 R/ViewerPreferences 524 0 R>> During this time frame, Medicaid checks to ensure no assets were sold or gifted for less than fair market value. The home is also exempt, regardless of any other circumstances, if the applicant has a spouse living in it. Learn more about calculating the spousal allowance. eligibility verifications plans, MAGI Conversion Plans The table below provides a quick reference to allow seniors to determine if they might be immediately eligible for long term care from a New Mexico Medicaid program. A State Plan is a contract between a state and the Federal Government describing how that state administers its Medicaid program. the CMS Medicaid Adult Core Set. New Mexico Medicaid State Plan. MedicaidPlanningAssistance.org is a free service provided by the American Council on Aging. January-Native Americans by Managed Care Organization - FFS. [ 13 0 R] Monthly Income Limits for Individual. Depending on your state and whether your household has an elderly (over 60) or disabled member, your household may be exempt from the Gross Income, Net Income, and/or . By using our website, you agree to our terms of use and privacy policy. January 2022 NEW MEXICO MEDICAL ASSISTANCE PROGRAMS Eligibility Categories Individuals become eligible for New Mexico Medicaid when they meet the specific criteria. New Mexico Medicaid Definition. For these persons, Medicaid planning exists. Tip: If the chat window does not appear, turn off pop up blocker or add an exception to allow the HSD web chat pop up to appear. In New Mexico, a non-applicant spouse can further increase their spousal income allowance if their housing and utility costs exceed a shelter standard of $686.63 / month (effective 7/1/22 6/30/23). Eligibility for all programs is partially based on an individuals or familyscountable household income. A locked padlock Alternative Benefit Plan vs. State Plan Comparison Chart, New Mexico Independent Consumer Support System (NMICSS), Centennial Care 2.0 Waiver Application (ARCHIVE), (HIPAA) Recipient Privacy and Confidentiality, Glossary of Acronyms, Abbreviations and Terms for Recipients, Additional Programs for Individuals with Brain Injury who are Medicaid Eligible, Brain Injury Education and Training Opportunities, Providers Critical Incident report Form, Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID), Program of All-Inclusive Care for the Elderly (PACE), Pre-Admission Screening and Resident Review (PASRR), Behavioral Health Policy and Billing Manual, General Information Memoranda (GIs) for ISD, General Information Memoranda (GIs) for MAD, ISD Interim Policies and Procedures (IPPs), MAD Interim Policies and Procedures (IPPs), Child Support Enforcement Division Registers, Centennial Care Evaluation Interim Report, Centennial Care 2.0 Evaluation Interim Report Draft, Consumer Assessment of Healthcare Providers & Systems (CAHPS) Reports, Center for Medicare and Medicaid Services 416, Centers for Medicare and Medicaid Home and Community Based Services Settings Final Rule, External Quality Review Organization (EQRO) Reports, Healthcare Effectiveness Data and Information Set (HEDIS) Reports, Income Support Division Plans and Reports, Medical Assistance Division Pending and Approved State Plan Amendments, NM Medicaid Access Monitoring Review Plan, Mental Health Parity Report for Medicaid Managed Care in NM, Home and Community Based Services (HCBS) American Rescue Plan Act (ARPA), Renew NM: SNAP, Cash, and LIHEAP Frequently Asked Questions, Renew NM: Medicaid Frequently Asked Questions, Disaster food benefits available for victims of New Mexico Wildfires. <> endstream Reflects Medicaid state plan coverage of the eligibility group for parents and other caretaker relatives. endobj and Results. x[Yo8~GiQ$mE(vljg%:[.^q8VGzyvQDj1Eu4y;^y!NbI (G0J5qY>GEHl98@P2(hM4{!.zK`*kpkS@+ZI4~ I4SSB1,A,.a/p}{/(BWj{u$?G ?d G>A0xE$l4*_@Y= Levels vary based on the category of eligibility, but all are calculated as a percentage of the Federal Poverty Guidelines (FPL), which are established by the United States Department of Health and Human Services. To view the current FPL for a particular program, click on the appropriate link below. Examples include employment wages, alimony payments, pension payments, Social Security Disability Income, Social Security Income, IRA withdrawals, and stock dividends. 89,444,160 individuals were enrolled in Medicaid and CHIP in the 50 states and the District of Columbia that reported enrollment data for June 2022. Children with household income up to 245% of poverty are eligible for coverage through CHIP. Program participants have the choice of self-directing their own care, including hiring a relative to provide care assistance, or going through a provider agency. Household of 3: $28,888. If you're claimed as a dependent by someone else, or if your (FPL). gross income (MAGI). The income limit for New Mexico Medicaid depends on the applicant's household size. ) or https:// means youve safely connected to the .gov website. 6 0 obj endobj Read more or connect with a Medicaid planner. Further complicating eligibility are the facts that the requirements vary with marital status and that New Mexico offers multiple pathways towards Medicaid eligibility. reporting period. Persons wishing to qualify for NM long-term care Medicaid should not apply without being certain that they meet all eligibility requirements (discussed above). 2 0 obj September 7, 2022. Across state and across Medicaid program, these figures vary. If the non-applicants share falls below $31,290, 100% of the assets, up to $31,290 can be retained by the non-applicant spouse. endobj Ones primary home is also exempt if the Medicaid applicant lives in it or has intent to return and their home equity interest is not more than $636,000 (in 2022). New Mexico is bracing for a rapid exodus of up to 100,000 people from subsidized Medicaid health care next year . stream endobj 12 0 obj 5. Official websites use .gov What is Medicaid Managed Care? January-By Managed Care Organization - FFS. This can be done by spending excess assets on non-countable ones, such as home improvements (replacing a leaky roof, updating the heating/plumbing), home modifications (wheelchair ramps, roll-in showers, and stair lifts), vehicle modifications (wheelchair lifts, adaptive control devices, and floor modifications to allow one to drive from a wheelchair), prepaying funeral and burial expenses, and paying off debt. Secure .gov websites use HTTPS A lock ( Additionally, to be eligible for Medicaid, you cannot make more than the income guidelines outlined below: Children ages 6- 18 with family income up to 240 percent of FPL. Medicaid and CHIP agencies now rely primarily on information available through data The technical storage or access that is used exclusively for statistical purposes. <> However, the non-applicant spouse may be entitled to a Minimum Monthly Maintenance Needs Allowance (MMMNA) from their applicant spouse to prevent spousal impoverishment. HK/W:YMh[\omYed5fN~Qo|^V9NM?mXp}v-YW'3qWw':*)ksz`*vg@Pi+6IUaYdnW*,A8q5T\&nC *>VZ@0)nk F q0\M[:q`ZrfXK8O)&wb6FZBuQen00. <> Read our accessibility statement or click here to enable. more of the targeted enrollment strategies outlined in guidance CMS issued on May 17, 2013, 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. In 2022, the community spouse (the non-applicant spouse) can retain 50% of the couples joint assets, up to a maximum of $137,400, as the chart indicates above. 5 0 obj Some of the eligibility requirements include: Low-income Legal status on the United States Resident of the state of application Those who meet these criteria are able to use their regular Medicaid benefits for their doctor's visits, hospital care, laboratory testing, and transportation for medical purposes. View available state's 3345, the Helping MOMS Act of 2021. Furthermore, in many of the states, Medicaid eligibility is automatic if one is eligible for SSI. Eligibility for Medicaid for adults aged 19 to 64 requires meeting an income limit There is no asset test. 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. You must also be one of the following: Pregnant, or purposes of verifying eligibility for Medicaid and CHIP. 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. Enrollment, Total Medicaid & CHIP Enrollment (Preliminary), Net Change in Enrollment July-September 2013, % Change in Enrollment July-September 2013. The MMMNA in NM is $2,288.75 / month (effective 7/1/22 6/30/23). 10 0 obj If the non-applicant's share falls below $31,290, 100% of the assets, up to $31,290 can be retained by the non-applicant spouse. For additional information on how Medicaid calculates income, click here. the indicated month, and is not solely a count of those newly enrolled during the Medicaid is a wide-ranging, jointly funded state and federal health care program for low-income individuals of all ages. Income Support Division NM LIHEAP Point and Income Guide NM LIHEAP Point and Income Guide FFY 2022. These include assisted living, adult day health care, home health aides, personal care assistance, and home modifications. Information about performance on frequently-reported health care quality measures in the If you have any further questions or need assistance, please contact the Consolidated Customer Service Center (CCSC) at 1-800-299-7304. x][o~0/v," designed to facilitate enrollment in Medicaid and CHIP. Summary The Medicaid Estate Recovery Program is how states are paid back by Medicaid Long Term Care beneficiaries after their deaths. We use cookies to collect site usage statistics and provide helpful (but not necessary) site functionality. Copyright 2022 All rights reserved. stream Source: Medicaid/CHIP 9 0 obj In 2022, a single senior applicant can have income up to $841 / month, and a married senior couple, regardless of if one or both spouses are applicants, can have up to . Medicaid Quality of Care Performance Measurement, state's Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you. These counts do not include the Consumer Assessment of Healthcare Providers and Share sensitive information only on official, secure websites. If a non-applicant spouse has monthly income under $2,288.75, income can be transferred from their applicant spouse to bring their monthly income up to this level. 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. Information about efforts to enroll eligible individuals in Medicaid and CHIP in . 1) Institutional / Nursing Home Medicaid This is an entitlement program; Anyone who is eligible will receive assistance. Income Limit 1 person household $1,699 / month 2 person household $2,290 / month The income limit is 150% of the federal poverty level. It gives an assurance that a state abides by Federal rules and may claim Federal matching funds for its Medicaid program activities. Applicants must be either a U.S. national, citizen, legal alien or permanent resident. 3) Medicaid Planning The majority of persons considering Medicaid are over-income or over-asset or both, but still cannot afford their cost of care. Click hereto run Medicaid Eligibility Reportsdynamically, 2022 Medicaid Eligibility Report Archives, January-All Children under 21 by Managed Care Organization-FFS, January-Native Americans by Managed Care Organization-FFS, January-Blue Cross Blue Shield of NM Enrollment by County, January-Presbyterian Enrollment by County, February-All Children under 21 by Managed Care Organization-FFS, February-Native Americans by Managed Care Organization-FFS, February-By Managed Care Organization-FFS, February-Blue Cross Blue Shield of NM Enrollment by County, February-Presbyterian Enrollment by County, February-Western Sky Enrollment by County, March-All Children under 21 by Managed Care Organization-FFS, March-Native Americans by Managed Care Organization-FFS, March-Blue Cross Blue Shield of NM Enrollment by County, April-All Children under 21 by Managed Care Organization-FFS, April-Native Americans by Managed Care Organization-FFS, April-Blue Cross Blue Shield of NM Enrollment by County, May-All Children under 21 by Managed Care Organization-FFS, May-Native Americans by Managed Care Organization-FFS, May-Blue Cross Blue Shield of NM Enrollment by County, June-All Children under 21 by Managed Care Organization-FFS, June-Native Americans by Managed Care Organization-FFS, June-Blue Cross Blue Shield of NM Enrollment by County, July-All Children under 21 by Managed Care Organization-FFS, July-Native Americans by Managed Care Organization-FFS, July-Blue Cross Blue Shield of NM Enrollment by County, August-All Children under 21 by Managed Care Organization-FFS, August-Native Americans by Managed Care Organization-FFS, August-Blue Cross Blue Shield of NM Enrollment by County, September-All Children under 21 by Managed Care Organization-FFS, September-Native Americans by Managed Care Organization-FFS, September-By Managed Care Organization-FFS, September-All Children under 21 by County, September-Blue Cross Blue Shield of NM Enrollment by County, September-Presbyterian Enrollment by County, September-Western Sky Enrollment by County, 2021 Medicaid Eligibility Report Archives, January-All Children under 21 by Managed Care Organization FFS, January-Native Americans by Managed Care Organization FFS, January-By Managed Care Organization FFS, February-All Children under 21 by Managed Care Organization -FFS, February-Native Americans by Managed Care Organization FFS, February-By Managed Care Organization FFS, March-All Children under 21 by Managed Care Organization FFS, March-Native Americans by Managed Care Organization FFS, September-Native Americans by Managed Care Organization FFS, October-All Children under 21 by Managed Care Organization-FFS, October-Native Americans by Managed Care Organization FFS, October-All Children under 21 by County MER-All Children under 21 by County, October-Blue Cross Blue Shield of NM Enrollment by County, October-Presbyterian Enrollment by County, November-All Children under 21 by Managed Care Organization-FFS, November-Native Americans by Managed Care Organization-FFS, November-By Managed Care Organization-FFS, November-Blue Cross Blue Shield of NM Enrollment by County, November-Presbyterian Enrollment by County, November-Western Sky Enrollment by County, December-All Children under 21 by Managed Care Organization-FFS, December-Native Americans by Managed Care Organization-FFS, December-By Managed Care Organization-FFS, December-Blue Cross Blue Shield of NM Enrollment by County, December-Presbyterian Enrollment by County, December-Western Sky Enrollment by County, 2020 Medicaid Eligibility Report Archives, January All Children under 21 by Managed Care Organization FFS, January Native Americans by Managed Care Organization FFS, January By Managed Care Organization FFS, January All Children under 21 by County, January Blue Cross Blue Shield of NM Enrollment by County, January Presbyterian Enrollment by County, January Western Sky Enrollment by County, February All Children under 21 by Managed Care Organization FFS, February Native Americans by Managed Care Organization FFS, February By Managed Care Organization FFS, February All Children under 21 by County, February Blue Cross Blue Shield of NM Enrollment by County, February Presbyterian Enrollment by County, February Western Sky Enrollment by County, March All Children under 21 by Managed Care Organization FFS, March Native Americans by Managed Care Organization FFS, March By Managed Care Organization FFS, March Blue Cross Blue Shield of NM Enrollment by County, March Presbyterian Enrollment by County, April All Children under 21 by Managed Care Organization FFS, April Native Americans by Managed Care Organization FFS, April By Managed Care Organization FFS, April Blue Cross Blue Shield of NM Enrollment by County, April Presbyterian Enrollment by County, May All Children under 21 by Managed Care Organization FFS, May Native Americans by Managed Care Organization FFS, May Blue Cross Blue Shield of NM Enrollment by County, June All Children under 21 by Managed Care Organization FFS, June Native Americans by Managed Care Organization FFS, June By Managed Care Organization FFS, June Blue Cross Blue Shield of NM Enrollment by County, July All Children under 21 by Managed Care Organization FFS, July Native Americans by Managed Care Organization FFS, July By Managed Care Organization FFS, July Blue Cross Blue Shield of NM Enrollment by County, August All Children under 21 by Managed Care Organization FFS, August Native Americans by Managed Care Organization FFS, August-By Managed Care Organization FFS, August Blue Cross Blue Shield of NM Enrollment by County, August Presbyterian Enrollment by County, August Western Sky Enrollment by County, September All Children under 21 by Managed Care Organization FFS, September Native Americans by Managed Care Organization FFS, September By Managed Care Organization FFS, September All Children under 21 by County, September Blue Cross Blue Shield of NM Enrollment by County, September Presbyterian Enrollment by County, September Western Sky Enrollment by County, October All Children under 21 by Managed Care Organization FFS, October Native Americans by Managed Care Organization FFS, October By Managed Care Organization FFS, October All Children under 21 by County, October Blue Cross Blue Shield of NM Enrollment by County, October Presbyterian Enrollment by County, October Western Sky Enrollment by County, November All Children under 21 by Managed Care Organization FFS, November- Native Americans by Managed Care Organization FFS, November By Managed Care Organization FFS, November All Children under 21 by County, November Blue Cross Blue Shield of NM Enrollment by County, November Presbyterian Enrollment by County, November Western Sky Enrollment by County, December All Children under 21 by Managed Care Organization FFS, December Native Americans by Managed Care Organization FFS, December By Managed Care Organization-FFS, December All Children under 21 by County, December Blue Cross Blue Shield of NM Enrollment by County, December Presbyterian Enrollment by County, December Western Sky Enrollment by County, February All Children under 21 by MCO-FFS, May All Children under 21 by Managed Care Organization -FFS, June Native Americans by Managed Care Organization -FFS, July- Native Americans by Managed Care Organization FFS, August By Managed Care Organization FFS, November Native Americans by Managed Care Organization FFS, December By Managed Care Organization FFS, MelindaA.Espinoza@state.nm.usfor Medicaid Eligibility Reports requests prior to 2019, Designed and Developed by RealTimeSolutions.

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