New Mexico’s Medicaid program is called Centennial Care. Its services include physical health, behavioral health, long-term care and community benefits. Centennial Care uses four existing insurance companies to provide this coverage.
Medicaid’s mission is to provide no-cost or low-cost health insurance coverage to financially eligible citizens. Even if you didn’t qualify before getting pregnant, you may qualify for maternity coverage now. Medicaid is expanding to cover more people.
Confused about Medicaid?
Many people are! But it’s easy once you get into it. You only need to know if you qualify, and then complete an application. You can do both from this page.
Just add up the gross pay on your household’s paychecks (the amount before taxes, insurance and everything else is taken out), and come up with the total for an average month.
If it’s less than the numbers below*, you can qualify for Medicaid.
In determining the household of a pregnant woman, she is counted as herself plus the number of children she is expected to deliver this pregnancy.
Up to $4,525 for a pregnant woman and unborn baby plus one (family of 3)
Up to $5,459 for a pregnant woman and unborn baby plus two (family of 4)
Up to $6,392 for a pregnant woman and unborn baby plus three (family of 5)
+$933 for each additional household member
*These numbers are good through the end of March 2021.
Start the application process immediately if you think you may qualify for Medicaid. See below. It can take 45 days for coverage to be set up, and while you wait, your appointments may or may not be covered by Medicaid.
Find out for sure if you can get Medicaid, and apply today
You can find out for sure whether you qualify for any Medicaid program in New Mexico several ways. Choose the option that’s easiest for you:
Before you start an application, gather these:
Social security numbers of the family members to enroll
Employment and income information — paystubs, tax return, W2 forms
Policy numbers, if you currently have health insurance (this doesn’t affect your eligibility)
The first date of your last menstrual period
Though they are not supposed to require it anymore, they may ask for a “proof of pregnancy” letter from your midwife or doctor
If you qualify for Medicaid, you will be asked to select a Managed Care Organization (MCO) to administer your care. We accept all three MCOs
Each MCO has the same coverage for most things: certified nurse-midwife fees related to maternity, lab work, ultrasounds, hospital admission, doctor visits, specialist visits, other medical care, behavioral health, long-term care, prescriptions, emergencies, vision, dental, certain kinds of rehabilitation, and x-rays. However, not all providers accept all MCOs. Call your favorite providers and find out if your choice will matter to them. What else makes the MCOs different? They may have different value-added services, such as free carseats, cribs, and mileage reimbursement for trips to provider offices. Visit their websites to find out what else they offer.
If you have other health insurance, don’t be afraid to report that to Medicaid. They don’t use that information when determining your eligibility for pregnancy coverage. And if you fail to report it to them, it could mean big trouble later … insurance fraud. You could also be stuck paying your own medical bills plus fines for the extra handling of claims.
Pregnancy Medicaid is usually back-dated to the beginning of your pregnancy. So if you’ve been told that you are eligible, your prenatal care at Dar a Luz will likely be covered no matter when you start seeing us.
Whatever you decide to do, please keep us informed. Tell us about all of your insurance policies. Tell us whenever anything changes. After your baby is born, add him or her to your Medicaid coverage within 30 days and tell us when it’s done.