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New Mexico Medicaid Expansion
Medicaid Expansion:
New Mexico is fully participating in the Medicaid Expansion under provisions of the Affordable Care Act (ACA).
 
For additional background on the State’s policy decisions regarding the Medicaid Expansion option, see: Background.
 
Medicaid in New Mexico:
The NM Department of Human Services, Medical Assistance Division, administers New Mexico Mediciad.
Information about NM Medicaid, including beneficiary enrollment information, can be found at: https://nmmedicaid.acs-inc.com/static/index.htm.
Provider Participation:
Providers must enroll in the Medicaid fee-for-service program to receive payments for covered services. Information about enrolling in the Medicaid fee-for-service program can be found at: https://nmmedicaid.acs-inc.com/static/index.htm.
The Medicaid website provides information about services covered by fee-for-service payments and payment amounts: https://nmmedicaid.acs-inc.com/static/index.htm.
In order to retain access to all Medicaid patients in the state, providers must also connect to the managed care plans individually.
 
Medicaid Managed Care:
Some Medical Assistance Division beneficiaries are enrolled in managed care plans. The program is called, Salud! Basic information about Salud! can be found at: http://www.hsd.state.nm.us/mad/CSaludDetail.html.
Some managed care plans cover individual New Mexico counties and independent cities. The Medicaid website has jurisdictional information: https://nmmedicaid.acs-inc.com/static/index.htm
Medical Assistance Division Beneficiaries Participating in Managed Care:
Managed care plans participating in Salud! offer detailed information about covered benefits for individuals enrolling in their plans. This information is available on the managed care websites shown below.
Managed Care Plans Participating in Salud!:
Blue Cross Blue Shield of NM
 
Lovelace Community Health Plan
 
Molina Health Care of NM
 
Presbyterian Health Plan
 
 
 
 
 
 
 
 
 
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