Consider others and their experience with an open mind.
Keep love and kindness at the heart of your messages.
Make an effort to embrace mental health conversations.
Learn how to improve your overall health.
No parent, guardian or caregiver should have to lie awake at night wondering how they will find the means to care for a child’s most basic needs — whether it is paying for a trip to the emergency room or putting a healthy meal on their table.
The New Mexico Human Services Department (HSD) is strongly committed to their mission to transform lives, including access for New Mexico’s children to high-quality health care.
New Mexico Medicaid provides no cost health coverage for eligible children so that they can get routine check-ups, immunizations and dental care to keep them healthy.
An overview of Medicaid for Children
New Mexico Medicaid provides a variety of health services for members.This includes preventive health services, maintenance health services to improve a condition or prevent worsening, and treatment of medical conditions. It also includes mental health services which include treatment for alcohol and substance use.
To apply for Medicaid, check eligibility, or enroll in or switch your managed care organization (MCO), visit the YesNM Online Portal.
To complete an application or for general questions please call the HSD Consolidated Customer Service Center at: 1-800-283-4465
EPSDT services ensure that children receive early detection and care, so that health problems can be diagnosed, and treatment be provided as early as possible.
Children may go to a doctor, a nurse practitioner or a physician’s assistant for a well-child exam. Children do not need to have a specific complaint to be seen. New Mexico has adopted the examination and screening guidelines recommended by the American Academy of Pediatrics (APP) and Bright Futures.
Detailed information regarding periodicity schedule, anticipatory guidance and screening tools can be found at: https://brightfutures.aap.org/Pages/default.aspx
Federal regulations require that providers review a child’s development at every well child visit to include the following:
When an examination or screening indicates the need for further evaluation, the child should be appropriately referred for diagnosis and treatment without delay. EPSDT services listed in Section 1905(a) of the Social Security Act are covered if that treatment or service is determined to be medically necessary to correct or ameliorate defects and physical and mental illnesses or conditions. This includes:
This broad coverage requirement results in a comprehensive, high-quality health benefit for children. EPSDT Benefit covers diagnostic and treatment services that ameliorate conditions.
These other benefits include but are not limited to:
Please contact us with any questions, concerns and/or comments at MADInfo.hsd@hsd.nm.gov
The EPSDT benefit covers a wide range of services. To access additional services for children with special needs HSD offers additional wraparound benefit programs. For more information please visit the Developmentally Disabled Waiver and Medically Fragile Waiver page.
New Mexico Department of Health provides early intervention services to over 14,000 children age birth to three who have or who are at risk for developmental delay, and their families.
75% of New Mexico’s births are covered by Medicaid and now, beginning January of 2024, continuous health insurance coverage has been extended to children from birth to age six, benefiting 92,842 children. This change eases the administrative burden on families by eliminating the need for annual Medicaid renewals for children from birth to age six — we are ensuring uninterrupted access to essential health care services for our youngest New Mexicans.
Fostering family wellness and child development from the comfort of the home is a priority for New Mexico. Having more home visiting providers in the Medicaid program broadens the support network for new families, offering crucial assistance during pregnancy and post-birth.
The Medicaid Home visiting program has been expanded to more providers, offering important early support to new families during pregnancy and post-birth. This approval allows additional home visiting providers to enroll in the Medicaid program, expanding options for new families to gain important support during pregnancy and after birth. These services include prenatal and postpartum care, infant care, health and nutrition guidance, and child development support.
These approvals are part of a larger initiative to bolster maternal and child health in New Mexico. Federal approvals that start in January 2024 also include enhancements to existing programs such as:
The department expects more approvals in 2024 for initiatives targeting health-related social needs, such as Medicaid coverage for incarcerated individuals during the pre-release period, housing initiatives with respite programs for unhoused individuals, and food as medicine programs for nutritional support to specific Medicaid populations.
Protect your family’s health! You may qualify for health coverage. We are here to help.
English and Español:
English:
New Mexico Periodicity Schedule
Español:
The Centers for Medicare and Medicaid Services (CMS) require that all children enrolled in Medicaid have a Blood Lead Level (BLL) screening test at 12 and 24 months of age. No safe blood lead level in children has been identified and lead exposure can affect nearly any system in the body. The goal of lead screening is to identify children with elevated blood lead levels before harm occurs.
You may contact us by phone at Medicaid Call Center: 888-997-2583 or email us at: MADInfo.HSD@state.nm.us
We have many programs designed to help people in need. From food assistance to Child Support we are working to improve the security and promote independence for New Mexicans in their communities.
We provide programs to help people with low income and limited resources purchase food products.
The New Mexico Women, Infants, and Children (WIC) Program is proud to offer free healthy foods, nutrition education, nursing support, and community connections to help families live their best in the Land of Enchantment.
Job training services with SNAP Employment & Training Program (SNAP E&T)
The SNAP E&T program helps parents get education, job training and skills support services to help them enter or re-enter the workforce. The program aims to support 121,287 SNAP customers who may be eligible to participate.
The New Mexico Human Services Department (HSD) also launched the Supplemental Nutrition Assistance Program (SNAP) Employment and Training (E&T) program. This free initiative is designed to provide participants education and job training skills, supporting them in workforce entry or re-entry. This program aims to support 121,287 SNAP customers who may be eligible to participate. Interested participants can reach out to HSD by calling 505-469-9574 from 8 a.m. and 5 p.m. Monday through Friday or by emailing hsd-snap.et@hsd.nm.gov.