Individuals become eligible for Centennial Care, New Mexico’s Medicaid Program, when they meet the specific criteria for one of the Medicaid eligibility categories. The links below give basic information about these eligibility categories. The actual process of determining eligibility is complex because numerous financial and non-financial factors are considered.
Regulations for Centennial Care are promulgated by the Health Care Authority and Medical Assistance Division. The Department’s Income Support Division offices make eligibility determinations for Medicaid, except for those categories administered by the Children, Youth and Families Department, the Social Security Administration, and the Premium Assistance programs.
For more information on eligibility please read Eligibility Pamphlet
The NMAC rule numbers can also be looked up on the NM Administrative Code website
Category
Policy Topic
NM Administrative Code (NMAC) Rule Number
Category
Program
Program Description
Medicaid for Recipient Under Eighteen
Years of Age for Whom the CYFD has
Full or Partial Financial Responsibility
Transitional Medicaid Eligibility:
Loss of JUL Family Medicaid due to
Loss of JUL Family Medicaid
Children Under 19
185% of Federal Poverty Guidelines
Medicaid Coverage when deemed Income or
Resources Results in AFDC Ineligiblity
Social Security Income Ineligibility due to
Income or Resources from an Alien Sponsor
Specified Low Income Medicare Beneficiaries
Medicare Drug Coverage:
Low Income subsidy (LIS)
Qualified Individuals (QIS) whose
Income Exceeds QMB & SLIMB
Refugee Medical Assistance with
Spend Down Provision Only
Program of All-Inclusive Care for the Elderly
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