How to Renew New Mexico Medicaid
Updated August 2026
HCA first attempts ex parte renewal — checking income and household data against IRS, SSA, and New Mexico state databases. If the data confirm continued eligibility, coverage renews automatically. You receive a notice confirming it. No paperwork is needed.
Annual
Renewal frequency
YesNM
Online renewal portal
10 days
Deadline to report household changes
New Mexico Medicaid renews annually through the YesNM portal
New Mexico Medicaid eligibility is reviewed every 12 months. The Health Care Authority (HCA) processes renewals through the YesNM portal at yes.nm.gov. HCA sends renewal notices by mail and, if you opt in, electronically. Call 1-800-283-4465 or visit an Income Support Division (ISD) office if you need help completing your renewal. Keep your address and contact information current in YesNM throughout the year — outdated contact info is the most common reason members lose coverage they still qualify for.
How New Mexico Medicaid renewal works
If HCA cannot confirm eligibility from existing data, you receive a renewal packet by mail. Federal rules (42 CFR 435.916) give you at least 30 days to respond. Not responding terminates coverage. During 2023 and 2024, New Mexico — like all states — resumed annual renewals after the COVID-era continuous enrollment ended April 1, 2023. HCA worked to minimize terminations during the unwinding period, but many members were still disenrolled for procedural reasons rather than actual ineligibility. The lesson from that period: responding promptly matters.
How to complete your renewal
Follow these steps to complete a New Mexico Medicaid renewal.
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1
Create or update your YesNM account
Log in at yes.nm.gov, verify your contact information, and set up electronic notifications if available. Opt into email or text alerts for renewal reminders.
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2
Update your address as soon as you move
Do not wait for your renewal date. An incorrect address means your renewal packet never reaches you.
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3
Review your renewal form
HCA may pre-populate your information. Verify it is accurate, particularly income figures if you had a job change or started self-employment.
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4
Submit required documentation
If the renewal form requests verification, gather recent pay stubs, proof of residency, or any other documents listed. Submit through YesNM or your ISD office.
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5
Confirm submission and watch for a decision
After submitting, monitor YesNM or your mail for a coverage decision. Coverage continues if approved. If denied or reduced, you receive a notice with your right to appeal.
Renewal checklist
Use this checklist to keep your renewal on track.
- Log into YesNM and confirm your current address, phone, and email are accurate
- Report income changes to HCA when they happen — do not save them for renewal time
- Open all mail from HCA or ISD — renewal packets may not look urgent but require a response
- Have income documentation ready: pay stubs from the past 30 days or a tax return if self-employed
- Report household changes (birth, death, marriage, new household member) to HCA within 10 days
- For Turquoise Care MCO members: MCO plan renewal is tied to your Medicaid eligibility — if your Medicaid lapses, your MCO coverage lapses too
- Native American members: special protections apply for your renewal; contact HCA at 1-800-283-4465 if you have questions
- If coverage lapsed and you still qualify, call HCA promptly — some lapsed coverage can be reinstated
What to do if coverage is terminated
If HCA terminates your Medicaid coverage, you have the right to a fair hearing within 90 days of the termination notice. Filing a timely appeal (within 10 days while coverage is still active) triggers "aid paid pending" — HCA must continue your coverage while the hearing is pending in most circumstances.
New Mexico Legal Aid provides free assistance with Medicaid fair hearings: nmlegalaid.org or 1-833-NMLEGAL. Your Turquoise Care MCO can also connect you with member advocacy resources. The HCA ombudsman is an additional resource — contact HCA at 1-800-283-4465 and ask for ombudsman services.
If your renewal is denied
A denial must state the reason in writing and explain your right to appeal. You have 90 days from the date of the notice to request a fair hearing. File the appeal quickly — if you appeal before your coverage ends, you may be able to continue coverage during the appeal period, though this depends on timing and the reason for denial.
Common renewal denials include income that increased above the threshold, failure to respond to the renewal packet, a change in household size that affects eligibility, or immigration status questions.
New Mexico Medicaid
- New Mexico HCA renewal phone line: 1-800-283-4465
- YesNM online portal: yes.nm.gov
- New Mexico Legal Aid (appeals help): nmlegalaid.org / 1-833-NMLEGAL
- New Mexico HCA: hsd.state.nm.us/mad