The Medicaid Income Limit is the most important criteria for deciding whether you qualify for Medicaid in your state. In this post, we are going to explain in detail the New Mexico Medicaid Income Limits for 2021. In New Mexico, Medicaid is called Centennial Care.
Based on this information, you will be able to determine whether your income qualifies you for New Mexico Medicaid or not.
However, before we get into details about the income limit, we will first explain the Medicaid program in New Mexico and how it works.
Next, we will discuss who is eligible for Medicaid, including how eligibility works for various categories, including Children, Pregnant Women, and Adults.
What is Medicaid?
Medicaid is a federal and state health insurance program for people with a low income.
It provides free or low-cost health coverage to millions of Americans, including families and children, pregnant women, the elderly, and people with disabilities.
The Children’s Health Insurance Program (CHIP) offers health coverage to children in families with incomes too high to qualify for Medicaid, but who can’t afford private coverage.
How Many People are on Medicaid?
According to the Centers for Medicare & Medicaid Services, as of November 2020, here are the number of people enrolled in Medicaid and Chip in the entire United States:
- 78,521,263 individuals were enrolled in Medicaid and CHIP
- 72,204,587 individuals were enrolled in Medicaid
- 6,695,834 individuals were enrolled in CHIP
New Mexico Medicaid
The New Mexico Medicaid program provides medical coverage to low-income individuals and families.
As of 2020, the program, along with the Children’s Health Insurance Program (CHIP) covered 807,831 people.
This includes 345,000 children as shown by the image below.
In New Mexico, Medicaid is administered by New Mexico’s Human Services Department (HSD).
Who Can Get Medicaid in New Mexico?
You should apply for Medicaid if your income is low and you match one of the descriptions below:
- You think you are pregnant
- The parent or caretaker of a child and/or teenager under the age of 19.
- You are a child or teenager age 18 or under.
- An adult age 65 or older.
- You are legally blind.
- Living with a disability or disabled.
- You are in need of nursing home care.
New Mexico Medicaid Income Limit
The New Mexico Medicaid Income Limit is calculated as a percentage of the Federal Poverty Line.
To qualify, you must meet the New Mexico Medicaid Income limits listed below.
Here is the Federal Poverty Level (FPL) for 2021.
| 2021 Federal Poverty Levels for the 48 Contiguous States & D.C. | |||
| Household Size | Poverty Guideline for 48 states & DC | Alaska | Hawaii |
| 1 | $12,880 | $16,090 | $14,820 |
| 2 | $17,420 | $21,770 | $20,040 |
| 3 | $21,960 | $27,450 | $25,260 |
| 4 | $26,500 | $33,130 | $30,480 |
| 5 | $31,040 | $38,810 | $35,700 |
| 6 | $35,580 | $44,490 | $40,920 |
| 7 | $40,120 | $50,170 | $46,140 |
| 8 | $44,660 | $55,850 | $51,360 |
| Over 8 people | add $4,540 for each additional person | $5,680 | $5,220 |
Additionally, to be eligible for Medicaid, you cannot make more than the income guidelines outlined below:
- Children up to age 1 with family income up to 300 percent of FPL
- Any child age 1-5 with a family income up to 300 percent of FPL
- Children ages 6- 18 with family income up to 240 percent of FPL
- CHIP for children with family income up to 300 percent of FPL
- Pregnant women with family income up to 250 percent of FPL
- Parents of minor children with family income up to 42 percent of FPL
- Individuals who are elderly, blind, and disabled with family income up to 74% of the FPL
- Adults without dependents under Medicaid expansion with income up to 133% of the FPL
New Mexico Medicaid Income Limit Charts
The New Mexico Medicaid eligibility income limit charts are divided by groups.
For example, the first chart is focused on income limits for children who qualify for Medicaid.
Similarly, the second chart below focuses on the Medicaid income limits for adults in New Mexico who qualify for Medicaid.
New Mexico Medicaid Income Limit for Children
Below is the income limit for children by age category. Find the age category your child falls into and you will see the income limit by household size.
| New Mexico Medicaid Income Limit – Children | ||||||
| Children Medicaid Ages 0-1 | Children Medicaid Ages 1-5 | Children Medicaid Ages 6-18 | Children Separate CHIP | |||
| % FPL | 100% | 300% | 300% | 240% | 300% | |
|
Household Size
|
1 | $12,880 | $38,640 | $38,640 | $30,912 | $38,640 |
| 2 | $17,420 | $52,260 | $52,260 | $41,808 | $52,260 | |
| 3 | $21,960 | $65,880 | $65,880 | $52,704 | $65,880 | |
| 4 | $26,500 | $79,500 | $79,500 | $63,600 | $79,500 | |
| 5 | $31,040 | $93,120 | $93,120 | $74,496 | $93,120 | |
| 6 | $35,580 | $106,740 | $106,740 | $85,392 | $106,740 | |
| 7 | $40,120 | $120,360 | $120,360 | $96,288 | $120,360 | |
| 8 | $44,660 | $133,980 | $133,980 | $107,184 | $133,980 | |
Next is the income limit for adults by category. Find the category you fall into and you will see the income limit by household size.
New Mexico has expanded Medicaid to include adults without dependents.
Therefore, adults without dependents can apply for Medicaid in New Mexico.
For an update on the Medicaid expansion debate and timeline in New Mexico, see our New Mexico Expansion update below.
New Mexico Medicaid Income Limit for Adults
| New Mexico Medicaid Income Limit – Adults | ||||||
| Pregnant Women Medicaid | Adults (Medicaid) Parent/ Caretaker | Seniors & People w/ Disabilities (Medicaid) | Adults (Medicaid) Expansion to Adults | |||
| % FPL | 100% | 250% | 42% | 74% | 133% | |
|
Household Size
|
1 | $12,880 | $32,200 | $5,410 | $9,531 | $17,130 |
| 2 | $17,420 | $43,550 | $7,316 | $12,891 | $23,169 | |
| 3 | $21,960 | $54,900 | $9,223 | $16,250 | $29,207 | |
| 4 | $26,500 | $66,250 | $11,130 | $19,610 | $35,245 | |
| 5 | $31,040 | $77,600 | $13,037 | $22,970 | $41,283 | |
| 6 | $35,580 | $88,950 | $14,944 | $26,329 | $47,321 | |
| 7 | $40,120 | $100,300 | $16,850 | $29,689 | $53,360 | |
| 8 | $44,660 | $111,650 | $18,757 | $33,048 | $59,398 | |
How to Read the New Mexico Medicaid Income Limits Charts Above
You cannot have an income higher than the Federal Poverty Level percentage described for your group to be eligible for Medicaid.
Similarly, when you identify the income group that applies to you, the income limit you see refers to the maximum level of income you can earn to qualify for benefits.
For example, if you are pregnant, to qualify for Medicaid, you cannot have an income higher than 250% of the Federal Poverty Level – which for a family of two is $43,550 as shown in the chart above.
How to Apply for New Mexico Medicaid
There are 3 ways you can apply for Medicaid in New Mexico.
Option 1 – Apply online
You can apply online through the YesNM Portal – as shown in the image below.
If you have an account, you can log in or create your YesNM Portal account. Click here to be taken to the website.
Option 2 – Apply at HSD Office Near You
You can apply in person at the New Mexico Human Services Department (HSD) office near you. Click here to locate an HSD office.
Option 3 – Download New Mexico Food Stamps Application
Call HSD at 1-800-283-4465 to have an application mailed to you. Complete it and mail it to your county HSD office or submit it in person.
Or mail your signed application. Send to:
Central ASPEN Scanning Area (CASA)
PO Box 830
Bernalillo, NM 87004
Or fax your signed application. Fax to:
1-855-804-8960
Additionally, you can apply for Medicaid over the phone. Call: 1-855-637-6574.
New Mexico Medicaid Phone Number
Here’s how to contact the New Mexico Medicaid Agency:
To complete an application or for general questions about Medical Assistance, please call the Consolidated Customer Service Center at 1-800-283-4465.
New Mexico Medicaid Expansion Update
New Mexico opted to expand Medicaid under the Affordable Care Act (ACA) in 2014.
Total enrollment in the program grew by 66 percent from the end of 2013 to July 2016.
New Mexico Medicaid enrollment has grown 69 percent since 2013.
According to U.S. Census data, the uninsured rate in New Mexico fell from 18.6 percent in 2013 to 9.2 percent in 2016.
This represents a drop of more than 50 percent, versus the national average drop of a little more than 40 percent.
New Mexico Medicaid Income Limits Summary
We hope this post on New Mexico Medicaid Income Limits was helpful to you.
If you have any questions about Medicaid in the state of New Mexico, you can ask us in the comments section below.
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Be sure to check out our other articles about Medicaid.
Income limits for Florida Medicaid
Alabama Medicaid Income Limits and How to Apply
Alaska Medicaid Income Limits and Chart
New York Medicaid Income Limits Charts