New Mexico Medicaid Office

New Mexico Medicaid office (HCA / MAD)

New Mexico Medicaid is moving through a name change. The Medical Assistance Division (MAD) that runs the program now sits inside the New Mexico Health Care Authority (HCA), the successor agency to the long-standing Human Services Department (HSD). Old hsd.state.nm.us pages still resolve, but the agency's mission statement, application form, and most policy documents have moved to hca.nm.gov; the publicly used name for the managed-care program shifted from Centennial Care 2.0 to Turquoise Care effective July 1, 2024. Day-to-day eligibility intake still flows through the HSD Income Support Division (ISD) and its county field-office network.

Phone lines that actually answer different questions

ISD field offices — open, with two oddities

ISD field office lobbies operate Monday through Friday from 8:00 a.m. to 4:30 p.m. statewide, closed on weekends and holidays. Two counties keep different hours and are worth checking before driving in:

• Guadalupe County (Santa Rosa) — Monday through Friday, 8:00 a.m. – 12:00 p.m. only.
• Hidalgo County (Lordsburg) — Tuesdays only, 9:00 a.m. – 4:00 p.m.

Who qualifies for New Mexico Medicaid?

HCA divides its Medicaid income tables into two formal documents that have been published every year since the ACA: MAD 222 covers the Affordable Care Act (MAGI) categories — children, pregnant women, parents, and the adult expansion group — while MAD 029 covers the Aged, Blind, and Disabled (non-MAGI) categories that use SSI-linked income tests and a resource limit. Both forms are published as standalone PDFs through hca.nm.gov, refreshed each year when the federal poverty guidelines update.

Who Centennial Care / Turquoise Care covers

• Children under 19 — Medicaid + CHIP combined, with foster-care youth handled through the Children, Youth and Families Department's coordination with HCA.
• Pregnant women and 12-month postpartum coverage — Medicaid pregnancy category continues coverage through the year after delivery.
• Parents and caretaker relatives — family income category for adults caring for a Medicaid-eligible child.
• Adult expansion group (ages 19–64) — covered up to 138% of the federal poverty level under MAD 222.
• Aged, blind, or disabled adults — MAD 029 categories with both an income and a resource test.
• Medicare beneficiaries — Medicare Savings Programs (QMB, SLMB, QI-1) sit on a separate non-MAGI chart.
• Long-term services and supports — Centennial Care / Turquoise Care members who meet a nursing-facility level of care get LTSS through their managed-care plan rather than through a standalone waiver; the Developmental Disabilities waiver and Medically Fragile waiver still operate outside the managed-care program.

Federal poverty level is the constant; dollars change each January

Every category in MAD 029 and MAD 222 is stated as a percentage of the federal poverty guidelines, and those guidelines update each year. HCA reissues both PDFs annually with new dollar figures; the percentage standards (e.g., 138% FPL for adult expansion) stay stable.

New Mexico Medicaid income limits

HCA publishes the official New Mexico Medicaid income charts as two separate PDFs each year on hca.nm.gov: MAD 222 for the Affordable Care Act (MAGI) categories, and MAD 029 for the Aged, Blind, and Disabled categories. The dollar figures change every January when the federal poverty level updates; the percentages of FPL below remain stable from year to year, so they are the most reliable summary until the new PDF posts.

New Mexico Medicaid FPL standards by category

Where to find this year's chart

The current PDF — usually titled "2026-2027 MAD 222 Affordable Care Act Medicaid" or "2026-2027 MAD 029 Aged, Blind and Disabled Medicaid Programs" — is linked from the HCA Federal Poverty Level Guidelines page. The same page also publishes prior-year archives going back to 2017-2018 and parallel charts for SNAP, financial assistance, and LIHEAP under the ISD-017 form number.

How to apply for New Mexico Medicaid

One application covers Medicaid, SNAP, cash assistance, and the other HCA benefits. The agency lists four documented ways to apply, and a paper application that exists in four languages.

Four ways to apply

• Online — yes.nm.gov — the preferred channel. Create a YesNM login to apply, upload documents, and check case status. The portal explicitly requires an account before you can use the "Check My Benefits" feature.
• Apply for Medicaid by phone — call 1-855-637-6574 to start a Medicaid-only application or get help completing one.
• Consolidated Customer Service Center — call 1-800-283-4465, Monday through Friday, 7:00 a.m. to 6:30 p.m. Mountain. This is where you complete an interview or ask about a pending case.
• Visit your nearest ISD field office — every county has at least one office; lobby hours are 8:00 a.m. – 4:30 p.m. statewide with the two exceptions noted in the office section above.

Paper forms HCA publishes

• HCA-100 — the current multi-program Application for Assistance, revised November 26, 2025. This is the form that replaced the older HSD-100 / MAD-100 numbering.
• HCA-100 Spanish, Chinese, and Vietnamese — translated versions HCA publishes alongside the English form.
• Medicaid Only application — a shorter standalone form for households applying only for medical coverage.
• HCA-600 Program Access Pamphlet — a plain-language guide to the HCA programs, in English and Spanish.

What happens after you submit

After submission, HCA contacts the household for next steps — typically a request for income, identity, citizenship, and household-composition verification. Federal decision deadlines apply: up to 45 days for non-disability applications, up to 90 days for applications based on disability, with pregnancy and presumptive-eligibility decisions moving much faster. Coverage can be retroactive up to three months before the application month when the applicant had qualifying medical bills.

If you need to check case details

Use the YesNM portal at yes.nm.gov and select "Check My Benefits," or call the 24/7 ISD Information Line at 1-855-309-3766 for automated case information. The Consolidated Customer Service Center at 1-800-283-4465 handles questions that require a worker.

What New Mexico Medicaid covers

Nearly every New Mexico Medicaid member receives care through the state's single managed-care program — branded as Centennial Care 2.0 through June 30, 2024 and as Turquoise Care from July 1, 2024 forward. The plan covers physical health, behavioral health, pharmacy, and long-term services and supports under one contract per MCO, which is unusual compared with states that carve out behavioral health or LTSS into separate programs.

Federally required Medicaid benefits

• Doctor visits, specialist care, urgent care, and emergency services
• Hospital inpatient and outpatient care, including surgery
• Prescription drugs through the MCO pharmacy benefit
• Lab work, X-rays, and diagnostic imaging
• Pregnancy care: prenatal, delivery, postpartum, and 12 months of postpartum coverage
• Behavioral health: outpatient counseling, crisis services, inpatient psychiatric care, and substance use disorder treatment
• Family planning and reproductive health services
• Non-emergency medical transportation to covered appointments

EPSDT for members under 21

Children enrolled in New Mexico Medicaid receive Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) — a federal mandate that covers any medically necessary screening or treatment for a child, including dental, vision, hearing, and behavioral health services that adult Medicaid does not always cover.

Long-term services and supports inside the managed-care benefit

New Mexico's choice to fold LTSS into the same MCO contract means a Turquoise Care member who needs nursing-facility care or community-based long-term supports works with the same plan and care coordinator they already have, rather than transitioning to a standalone waiver. The Developmental Disabilities (DD) waiver and the Medically Fragile waiver still operate outside Turquoise Care for the populations they were designed for.

Other state Medicaid pages