New Mexico Administrative Code

Age Life Estate Remainder 0 .97188 .02812 1 .98988 .01012 2 .99017 .00983 3 .99008 .00992 4 .98981 .01019 5 .98938 .01062 6 .98884 .01116 7 .98822 .01178 8 .98748 .01252 9 .98663 .01337 10 .98565 .01435 11 .98453 .01547 12 .98329 .01671 13 .98198 .01802 14 .98066 .01934 15 .97937…

A. Individual living in their own household who own or rent: Payment amount: $967 Individual $1,450 Couple B. Individual receiving support and maintenance payments: For an individual or couple living in their own household, but receiving support and maintenance from others (such …

Effective January 1, 2024, the maximum countable monthly income standard for institutional care medicaid and the home and community based waiver categories is $2,901.

Effective July 1, 1995, the maximum countable monthly income standard for CYFD medicaid is $231.00.

A. Monthly computation: (1) total gross unearned income of parent; (2) deduct living allowance for ineligible child and SSI-eligible sponsored alien (one half of the monthly SSI FBR LA code A*) for each ineligible child/SSI-eligible sponsored alien); (3) subtotal; (4) deduct $20.…

A. Males: Age Life expectancy Age Life expectancy Age Life expectancy 0 71.80 40 35.05 80 6.98 1 71.53 41 34.15 81 6.59 2 70.58 42 33.26 82 6.21 3 69.62 43 32.37 83 5.85 4 68.65 44 31.49 84 5.51 5 67.67 45 30.61 85 5.19 6 66.69 46 29.74 86 4.89 7 65.71 47 28.88 87 4.61 8 64.73 48…

The rule applies to the general public.

Date Calendar Quarter Amount Jan. 2025 - Dec. 2025 $1,810 per calendar quarter Jan. 2024 - Dec. 2024 $1,730 per calendar quarter Jan. 2023 - Dec. 2023 $1,640 per calendar quarter Jan. 2022 - Dec. 2022 $1,510 per calendar quarter Jan. 2021 - Dec. 2021 $1,470 per calendar quarter J…

Budget group size Gross income test Net income test 185% Standard of need Standard of need 049/059 Refugee 049/059 Refugee 1 $791 $266 2 $1,072 $357 3 $1,352 $447 4 $1,633 $539 5 $1,913 $630 6 $2,194 $721 7 $2,474 $812 8 $2,755 $922 +1 + $281 + $91

The New Mexico medicaid program and other health care programs are administered pursuant to regulations promulgated by the federal department of health and human services under Title XIX of the Social Security Act as amended or by state statute. See Section 27-1-12 et seq. NMSA 1…

Permanent.

August 28, 2015, unless a later date is cited at the end of a section.

The objective of this rule is to provide specific instructions when determining eligibility for the medicaid program and other health care programs. Generally, applicable eligibility rules are detailed in the medical assistance division (MAD) eligibility policy manual, specifical…

[RESERVED].

We ensure that New Mexicans attain their highest level of health by providing whole-person, cost-effective, accessible, and high-quality health care and safety-net services.

To be medical assistance division (MAD) eligible, an applicant or a re-determining eligible recipient must meet specific income and as applicable, resource standards.

New Mexico Health Care Authority.

Medicaid provides coverage for the following groups of applicants/recipients who have received supplemental security income (SSI) benefits and who have lost their SSI benefits for specified reasons. A. Pickle and 503 lead cases: (1) Individuals who were entitled to SSI benefits a…

An applicant/recipient must furnish his or her social security number in accordance with 8.200.410.10 NMAC.

Refer to Medical Assistance Program Manual Section 8.200.410.11 NMAC.

Applicants/recipients must be physically present in New Mexico and have demonstrated intent to remain in the state. If an applicant/recipient does not have the present mental capacity to declare intent, a parent, guardian, or adult child may assume responsibility for the declarat…

To be eligible for medicaid extension under the 503 leads and Pickle group, an applicant/recipient must have been eligible for, and have received, both Title II and SSI benefits concurrently in any month that he/she is currently receiving Title II benefits.

To be eligible for medicaid extension, an applicant/recipient must be aged, blind, or disabled as defined by the social security administration (SSA). This determination is made by SSA prior to applicable for medicaid extension.

Applicants/recipients for medicaid extension must meet the age requirements as specified in 8.201.400.10 NMAC, Basis for Defining the Group.

An applicant/recipient is responsible for establishing his/her eligibility for medicaid. As part of this responsibility, the applicant/recipient must provide required information and documents or take the actions necessary to establish eligibility. Failure to do so must result in…

Refer to Medical Assistance Program Manual Subsection F of 8.200.420.12 NMAC.

The rule applies to the general public.

Medicaid applicant/recipients must report any change in circumstances which may affect eligibility to the local income support division (ISD) office within 10 days of the change.

The New Mexico medicaid program is administered pursuant to regulations promulgated by the federal department of health and human services under Title XIX of the Social Security Act, as amended and by the state health care authority pursuant to state statute. See Sections 27-2-12…

Permanent.

January 1, 2019, unless a later date is cited at the end of the section.

The objective of these regulations is to provide eligibility policy and procedures for the medicaid program.

Medicaid extension (categories 001, 003 and 004) provides coverage for certain groups of individuals who have lost eligibility for supplemental security income (SSI) for specified reasons.

New Mexico Health Care Authority.

To be eligible for medicaid extension, applicants/ recipients must meet SSI resource standards. Recipients initially eligible for medicaid extension under E01 status lose eligibility when their resources exceed the SSI resource maximum. See 8.215.500.11 NMAC, resource standards, …

The social security administration excluded transfer of resources as a factor of eligibility for non-institutionalized SSI recipients. Transfer of resources is not a factor for consideration in categories that use SSI methodology in the eligibility determination.

See 8.281.510 NMAC and following subsections.

To be eligible for medicaid extension, an applicant/ recipient must have countable income below the SSI FBR. See 8.215.500.18 NMAC, income, through 8.215.500.22 NMAC, disregards, for information on exclusions, disregards, and countable income.

A. An applicant/ recipient's countable income, after exclusion of the Title II COLAs received following SSI termination, must be less than the current SSI federal benefit rate (FBR). B. To determine the total amount of the applicant/ recipient's Title II COLAs received since the …

If an applicant/recipient is a minor who lives with a parent(s), deemed income from the parent(s) must be considered. If an applicant/ recipient is married and lives with a spouse, deemed income from the spouse must be considered. See 8.215.500.21 NMAC, deemed income, for informa…

The rule applies to the general public.

The New Mexico medicaid program is administered pursuant to regulations promulgated by the federal department of health and human services under Title XIX of the Social Security Act, as amended, and by the state health care authority pursuant to state statute. See Section 27-2-12…

Permanent.

July 1, 2024, unless a later date is cited at the end of a section.

The objective of these regulations is to provide eligibility policy and procedures for the medicaid program.