Everything You Want To Know

Medicaid / New Mexico

Medicaid for Home Care in New Mexico

Medicaid Certified Home Care Agency in New Mexico

Homecare service providers need to share their details related to certification as an HHA (Home Health Agency) for claiming Medicaid in New Mexico. Some regulations are set by different states to ensure agencies are delivering better services and have adequate license and certifications.These regulations may vary in different states, which further have exemption with regards to certifications. Agencies can check the certification related details, which is offered by the Bureau of Licensing and Certification.

Governing Body: New Mexico’s Human Services Department (HSD)


Medicaid in New Mexico is also referred to as Centennial Care that offers a number of jointly-funded state and federal health care programs for seniors, pregnant women, parents, newborns, children, seniors, and disabled.

Medicaid Programs:

  • Institutional / Nursing Home Medicaid
  • Medicaid Waivers / Home and Community Based Services (HCBS)
  • Regular Medicaid / Aged Blind and Disabled
  • New Mexico Centennial Care Community Benefit
  • The Brain Injury Services Fund
  • Behavioral Health Services
  • Native American Health Care Services

Income Requirements:

  • The income should be under 138% of the Federal Poverty Level (FPL)
  • For an individual, income up to 15,800
  • For a family of four, household income up to $32,319
  • For a family of eight, household income up to $54,384

Application Process:

To apply online for the available Medicaid programs in New Mexico, you can visit Yes New Mexico.

Medicaid with CareSmartz360

Home care businesses require advanced solutions to integrate Medicaid into their services, and Caresmartz has been doing that across the states for home care agencies, private-duty care providers, and home care franchisors for several years. CareSmartz360 is a complete software solution to manage a home care business, and it supports all Medicaid payers, allowing businesses to focus on other operations and processes.

  • Effective and comprehensive management of the revenue cycle.
  • Allows agencies to fulfill billing requirements for Medicaid, Medicare, Insurance, and Private Pay.
  • Built-In feature to submit claims electronically.
  • Quickly create, review, approve and submit claims in paper invoice or 837P, 837I format.
  • Helps in generating error-free claims to save time and efforts.
  • Identify and manage accounts and claims that are overdue.
  • Robust reporting to evaluate financial performance.
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    50-State Medicaid Guide

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