Key facts at a glance
- Pregnant women eligible up to 255% FPL ($65,840 for a family of three in 2025).
- Children 0-5 eligible up to 245% FPL ($63,260 for a family of three).
- Expansion adults eligible up to 138% FPL ($35,630 for a family of three).
- Doula reimbursement: $2,500 per full perinatal package.
- Postpartum Medicaid extended to 12 months (effective 2022-04-01).
New Mexico Medicaid, topic by topic
Eligibility
Income limits & who qualifies
Medicaid / Turquoise Care covers pregnant women up to 255% of the federal poverty line, $65,840 annual income for a family of three in 2025.
How to apply
How to apply step by step
Apply online at https://www.yes.state.nm.us/ or by phone at 1-888-997-2583. Federal law requires a 45-day decision on non-disability applic…
Doula coverage
Doula coverage details
Medicaid / Turquoise Care covers doula services at up to $2,500 per full perinatal package, effective 2023-07-01.
Postpartum extension
12-month postpartum status
Medicaid / Turquoise Care extended postpartum Medicaid coverage to 12 months, effective 2022-04-01.
Pregnant women
Pregnancy coverage in full
Medicaid / Turquoise Care covers pregnancy-related care up to 255% of the federal poverty line, about $65,840 annual income for a family of…
Renewal
Annual renewal & unwinding
Medicaid / Turquoise Care redetermines eligibility at least once every 12 months under 42 CFR 435.916. During the 2023+ unwinding, roughly …
For Black families
Roughly 18,500 Black residents are enrolled in Medicaid / Turquoise Care, per the most recent CMS T-MSIS analytic file. The number understates true eligibility: every state has Black eligibles who aren't currently enrolled, usually because of the administrative-churn rates that rose sharply during the 2023 unwinding.
New Mexico's Turquoise Care managed-care contracts launched July 2024, replacing Centennial Care. The doula benefit (up to $2,500 per package) took effect July 2023 under HB 21 (2023); Indigenous Women Rising and Tewa Women United have supported tribal enrollment.
For enrollment help: look for your state's Navigator program (federally funded under the ACA), a Federally Qualified Health Center in your county (every FQHC has certified application counselors on staff), or one of the named community organizations below. Our FQHC directory filters to this state at /clinics/nm/.
More on New Mexico from Black Health
FQHCs
Federally Qualified Health Centers in New Mexico
Sliding-scale clinics that take Medicaid + help with applications.
Providers
Providers who accept Medicaid in New Mexico
Filter our directory to New Mexico by specialty.
Health data
Black Health outcomes in New Mexico
Maternal mortality, life expectancy, uninsured rate by race.
Sickle cell
Medicaid gene-therapy coverage in New Mexico
Does New Mexico Medicaid cover Casgevy + Lyfgenia? SCDAA chapter, comprehensive centers.
Hospitals
Safety-net hospitals in New Mexico
CMS ratings, Medicaid-accepting hospitals, and which facilities anchor care for Black patients.
Tool
Medicaid eligibility pre-check for New Mexico
Household size and income, in about a minute. Direct link to New Mexico’s apply portal.
WIC
WIC in New Mexico
Adjunctive WIC eligibility for everyone on Medicaid / Turquoise Care, monthly food package + Cash-Value Benefit.
SNAP
SNAP (food stamps) in New Mexico
Federal food assistance: FY 2025 max benefits, ABAWD rules, application URL for New Mexico.
TANF
TANF cash assistance in New Mexico
New Mexico’s maximum monthly TANF cash benefit, time limits, and how to apply.
Data sources
- Medicaid / Turquoise Care — state Medicaid portal.
- KFF State Health Facts, Medicaid income eligibility + expansion + enrollment tables (kff.org/statedata).
- National Health Law Program doula Medicaid project (healthlaw.org/doulamedicaidproject).
- March of Dimes Report Card, 12-month postpartum extension tracker (marchofdimes.org/report-card).
- CMS T-MSIS Analytic Files, Medicaid enrollment by race and ethnicity (medicaid.gov/dq-atlas).
- HHS Poverty Guidelines, 2025 Federal Register release.
Data refreshed:
If you have Medicaid, the coverage on this page is the route to use first: it costs you nothing and it is what these programs exist for. If you are not covered yet, there is still a free option. Our directory of free and charitable clinics lists verified centers by state. The option below is self-pay and is not billed to Medicaid. It is here for readers who are between coverage or who prefer to pay out of pocket:
Affiliate