The Medicaid program delivers vital health care services to over 65 million Americans with limited income and resources. This nationwide program is co-funded and regulated at the federal level, and each state can augment the program’s basic benefits, add waivers, decide how services are delivered and manage eligibility and enrollment.
New Mexico’s Medicaid program, called Centennial Care, is administered by the state Human Services Department and delivers primary, acute, emergency and long-term care services through managed care plans. More than 600,000 New Mexicans are enrolled in the program, and one in five are elderly, blind or disabled.
Centennial Care provides a range of core benefits to those who qualify for coverage, including:
- Doctor visits and referrals for specialist care
- Inpatient and outpatient hospital services
- Emergency care
- Ambulance and nonemergency medical transportation
- Durable medical equipment
- Prescription medications
Qualifying for Centennial Care Coverage for Long-Term Care Las Cruces residents who are American citizens or legal immigrants can qualify for Centennial Care medical coverage and institutional nursing home care if they meet these eligibility guidelines:
- Aged 65 or older
- Aged 64 or younger and blind or permanently disabled
- No more than $2,313 in monthly income per individual
- No more than $2,000 in countable assets for individuals or $4,000 combined assets for couples applying together
- Need the level of care normally provided in nursing homes
Married applicants applying without their spouse must meet the financial limits for individuals. Their non-applicant spouse may be awarded up to $3,160.50 of their monthly income and $126,420 in jointly owned assets according to federal laws regarding
spousal impoverishment.
All types of income count toward the above limits, but several assets are automatically exempt, including an owner-occupied home valued at $878,000 or less, household and personal effects, one vehicle and irrevocable burial trust accounts.
Centennial Care Community Benefit Program Seniors and disabled adults who meet Centennial Care’s eligibility requirements for long-term care and are assessed as able to live safely outside an institutional setting may qualify for the Community Benefit program.
This New Mexico Medicaid entitlement program is specifically designed to help qualified individuals age in place and avoid premature nursing home admission. The program provides a range of community-based services in a participant’s home or an assisted living setting such as:
- Community transition services for those already in a nursing home
- Assistance with personal care and daily living activities
- Housekeeping and laundry services
- Behavioral support services
- Nutritional counseling
- Short- or long-term private-duty nursing care
- Nonmedical transportation
- Occupational, physical, speech and language therapy
- Personal emergency response systems
Seniors and disabled adults can complete an online application for Centennial Care and the Community Benefit program via the
YesNM Portal, call (888) 997-2583 to apply by phone or visit either of the two
New Mexico HSD field offices in Las Cruces. Those already enrolled in Medicaid should contact their managed care organization to discuss their eligibility for the Community Benefit program.