State health care information for the criminal justice system

1_bja_logo_mstThis map of state health information for criminal justice practitioners is funded through a grant from the Bureau of Justice Assistance, Office of Justice Programs, U.S. Department of Justice.  Neither the U.S. Department of Justice nor any of its components operate, control, are responsible for, or necessarily endorse its content (including, without limitation, any of the information links to other websites provide).

 

For a glossary of important terms in this profile, review the Key Terms for State Health Care Information for Criminal Justice Systems.

Basic Information on Health Reform in New Mexico

New Mexico is expanding its Medicaid program to cover low income adults, as of January 2015.[i]  Medicaid and CHIP (Children’s Health Insurance Plan) are safety net health benefit programs available in New Mexico.[ii]

Health Insurance Exchange Information: has adopted a State-Federal Partnership model for their health insurance exchange. People can purchase low-cost plans and enroll through the New Mexico Health Insurance Exchange (NMHIX) at BewellNM.com and take advantage of any federal tax subsidies that apply.[iii]

Eligibility and Enrollment: People in New Mexico can apply for and enroll in Medicaid or CHIP any time of year and coverage can begin immediately. They can purchase and enroll in marketplace plans during the annual open enrollment period, which begins November 15th of each year and extends through February 15th.  If they meet certain criteria, such as having been released from custody in the last 90 days, they may be able to enroll in private coverage outside the open enrollment period. There are four ways people in New Mexico can see if they meet eligibility requirements and apply for or enroll in these benefits:

1) They can use the online application on the Federally Facilitated Marketplace.[iv]

2) They can apply and enroll over the phone through the NMHIX call center (877-958-4556).

3) They can fill out and mail in a paper application to determine tax credit eligibility.

4) They can get in-person assistance from an NMHIX certified agent/broker or enrollment counselor at location across the state.[v]

 

New Mexico Medicaid and Health Insurance Links

Link to the state Medicaid agency website  [vi]

Link to the important contact information and the Medicaid helpline number (888-997-2583)[vii]

Link to location and contact information for the nearest district Medicaid office.[viii]

Link to a summary of New Mexico’s basic eligibility guidelines[ix]

Link to information on New Mexico’s Medicaid State Plan for traditionally Medicaid-eligible individuals[x]

Link to NM’s Alternative Benefit Plan for newly Medicaid-eligible individuals under the ACA

Link to more information on which Medicaid services are covered[xi]

Link to an organizational chart of the New Mexico Medicaid Agency[xii]

Link to contact information for the state Medicaid director[xiii]

For a link to the Medicaid provider manual[xiv]

 

Where do you apply for coverage on New Mexico’s health insurance exchange? To apply, visit BewellNM.com[xv]

Where can you find help to enrollment in health coverage and answers to questions? Link to enrollment help[xvi]

 

State Health Information

How many people in New Mexico are eligible to participate?  According to the Kaiser Family Foundation, 18.6 % of New Mexico’s total population (1,669,460) was uninsured in 2013. 71% of New Mexico’s uninsured population is eligible to participate. The total number of potential marketplace participants is 156,000. [xvii]

How many are enrolled so far?  43,054 individuals have selected a marketplace plan as of January 2015.[xviii]

How many of the state’s uninsured population are eligible for Medicaid? 48% of uninsured New Mexico residents (169,000) are eligible for Medicaid; 129,000 of them are adults, as of November 2014.[xix]                                 

Is New Mexico a Medicaid health home state? Yes, link to information on health homes in New Mexico.[xx]

Who are the health committee chairs in the state legislature?

House: Rep. Terry H. McMillan (R-District 37) chairs the Health Committee.

Rep. James Roger Madalena – (D-District 65) chairs the Joint Interim Committee on Health and Human Services.[xxi]

 

Other Related Information for New Mexico

Link to information on the New Mexico Department of Corrections [xxii]

Link to the New Mexico Behavioral Health Collaborative to find substance abuse services and mental health services in New Mexico [xxiii]

 

General Information and Useful Links on Health Reform

Kaiser Family Foundation offers information on health reform in each state:

Link to specific health data and insurance coverage information for New Mexico [xxiv]

Link to a calculator for possible subsidies available to people who purchase coverage on the exchanges [xxv]

Link to information about health insurance exchanges in each state [xxvi]

 

Government websites that offer useful information on health reform:

InsureKidsNow.gov offers general information on the CHIP program.[xxvii]

Healthcare.gov offers links to local enrollment help  and information on coverage for incarcerated people and answers to questions about health benefits.[xxviii]

Medicaid.gov offers general information on the Medicaid program and a breakdown of mandatory benefits all plans must include. [xxix]

The Health Resources and Services Administration (HRSA) offers an online directory of Federally Qualified Health Centers (FQHC) in each state that offer free or low cost care.[xxx]

The Substance Abuse and Mental Health Services Administration (SAMSHA) offers a directory of substance abuse and mental health treatment facilities in each state at: SA-Treatment Facility Locator and at: MH-Treatment Facility Locator.[xxxi]

SAMHSA also offers the National Survey of Substance Abuse Treatment Facilities, which has information on substance abuse treatment facilities by state, the types of programs available, and services they offer for justice-involved populations.[xxxii]

 

Click here to return to the map of state profiles: state-by-state healthcare profile map

 

[i]  See Healthcare.gov, Find out if you qualify for Medicaid and CHIP, New Mexico, last viewed at December 14, 2014, at 7:10 p.m., https://www.healthcare.gov/medicaid-chip/eligibility/.

[ii] See Medicaid.gov, Medicaid by Sate, New Mexico, last viewed at December 14, 2014, at 1:00 p.m., http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-State/new-mexico.html.

[iii] See Medicaid.gov, Medicaid by Sate, New Mexico, last viewed at December 14, 2014, at 1:00 p.m., http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-State/new-mexico.html.

[iv] See Human Services, Yes New Mexico, last viewed at December 14, 2014, at 7:34 p.m., https://www.yes.state.nm.us.

[v] See Healthcare.gov, Apply for health coverage, last viewed at December 14, 2014, at 7:34 p.m., https://www.healthcare.gov/apply-and-enroll/how-to-apply/.

[vi] See New Mexico Human Services Department, last viewed at December 14, 2014, at 7:36 p.m., http://www.hsd.state.nm.us.

[vii] See New Mexico Human Services Department, Contact Us, last viewed at December 14, 2014, at 7:40 p.m., http://www.hsd.state.nm.us/Contact_Us.aspx.

[viii] See New Mexico Human Services Department, Field Offices, last viewed at December 14, 2014, at 8:10 p.m., http://www.hsd.state.nm.us/LookingForAssistance/Field_Offices_1.aspx.

[ix] See New Mexico Human Services Department, Looking for Assistance, last viewed at December 14, 2014, at 8:10 p.m., http://www.hsd.state.nm.us/LookingForAssistance/centennial-care-overview.aspx.

[x] See Medicaid.gov, State Resources, Medicaid State Plan Amendments, last viewed at December 14, 2014, at 8:44 p.m., http://www.medicaid.gov/State-Resource-Center/Medicaid-State-Plan-Amendments/Medicaid-State-Plan-Amendments.html?filterBy=New%20Mexico. (Provides state plan amendments and summaries).

[xi] See Centennial Care, Frequently Asked Questions, last viewed at December 14, 2014, at 8:46 p.m., http://www.hsd.state.nm.us/uploads/FileLinks/f6a85847fca64b91995f29317a8d6a37/Centennial_Care_general_FAQs_6_19_13.pdf.

[xii] See New Mexico Human Services Department, Department Overview, last viewed at December 14, 2014, at 8:46 p.m., http://www.hsd.state.nm.us/Office_of_the_Secretary.aspx.

[xiii] See New Mexico Human Services Department, Medical Assistance Division, Meet the Director, last viewed at December 14, 2014, at 8:50 p.m., http://www.hsd.state.nm.us/Medical_Assistance_Division.aspx.

[xiv] See New Mexico Medicaid Portal, Providers, last viewed at December 14, 2014, at 9:00 p.m., https://nmmedicaid.acs-inc.com/static/ProviderInformation.htm.

[xv] See Healthcare.gov, Create an account, last viewed at December 14, 2014, at 9:18 p.m., https://www.healthcare.gov/marketplace/b/create-account/.

[xvi] See Yes New Mexico, last viewed at December 14, 2014, at 9:18 p.m., https://www.yes.state.nm.us/jsp/access/ABUserComments.jsp?POP_UP=Y.

[xvii] See The Henry Kaiser Foundation, State Health Facts, Health Insurance Coverage of the Total Population, December 14, 2014, at 9:14 p.m., http://kff.org/health-reform/fact-sheet/state-profiles-uninsured-under-aca-new-mexico/.

[xviii] See CMS, Medicaid & CHIP: June 2014 Monthly Applications, Eligibility Determinations and Enrollment Report August 8, 2014, last viewed at December 14, 2014, at 9:16 p.m., http://www.medicaid.gov/AffordableCareAct/Medicaid-Moving-Forward-2014/Downloads/June-2014-Enrollment-Report.pdf.

[xix] See The Henry Kaiser Foundation, State Health Facts, State Profiles: How Will the Uninsured Fare Under the Affordable Care Act?, last viewed at December 14, 2014, at 9:18  p.m., http://kff.org/health-reform/fact-sheet/state-profiles-uninsured-under-aca-New Mexico/.

[xx] See The Henry Kaiser Foundation, State Health Facts, Health Home State Plan Option, last viewed at December 14, 2014, at 9:18 p.m., http://kff.org/medicaid/state-indicator/health-home-state-plan-option/.

[xxi] See the New Mexico Legislature, Legislative Health and Human Services Committee, last viewed at December 14, 2014, at 9:28 p.m., http://www.nmlegis.gov/lcs/committee_detail.aspx?CommitteeCode=LHHS.

[xxii] See New Mexico Corrections Department, last viewed at December 14, 2014, at 9:26 p.m., http://corrections.state.nm.us/.

[xxiii] See New Mexico Behavioral Health Collaborative, last viewed at December 14, 2014, at 9:36 p.m., http://www.bhc.state.nm.us/.

[xxiv] See The Henry Kaiser Foundation, State Health Facts, last viewed January 8, 2015 at 1:38 p.m.: http://kff.org/state-category/health-reform/?state=NM.

[xxv]  See The Henry Kaiser Foundation, State Health Insurance Marketplace Profiles, January 8, 2015 at 1:38 p.m.: http://kff.org/state-health-marketplace-profiles/.

[xxvi]   See The Henry Kaiser Foundation, State Health Insurance Marketplace Profiles, January 8, 2015 at 1:38 p.m.: http://kff.org/state-health-marketplace-profiles/.

[xxvii]   See InsureKidsNow.gov, last viewed on January 8, 2015 at 1:37 p.m.: http://www.insurekidsnow.gov/chip/index.html.

[xxviii]  See Healthcare.gov, last viewed on January 8, 2015 at 1:38 p.m.: https://localhelp.healthcare.gov/ and https://www.healthcare.gov/incarcerated-people/.

[xxix] See Medicaid.gov, last viewed on January 8, 2015 at 1:38 p.m., http://www.medicaid.gov/medicaid-chip-program-information/medicaid-and-chip-program-information.html.

[xxx] See Health Resources and Services Administration (HRSA), Find a Health Center, last viewed January 8, 2015 at 1:40 p.m.: http://www.bphc.hrsa.gov/.

xxiv  See SAMSHA Treatment Facility Locator, last viewed January 8, 2015 at 1:40 p.m.: http://findtreatment.samhsa.gov/TreatmentLocator/faces/quickSearch.jspx and http://findtreatment.samhsa.gov/MHTreatmentLocator/faces/quickSearch.jspx

xxv See SAMHSA N-SSATS last viewed January 8, 2015 at 1:45 p.m.: http://www.samhsa.gov/data/substance-abuse-facilities-data-nssats.

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