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Medicaid Explained

ABOUT MEDICAID

Medicaid was created in 1965 as a joint federal and state program that provides health insurance low-income Americans. Nearly 49 million Americans are enrolled in Medicaid. Each state can run their Medicaid program according to the needs of their state, and in accordance with federal and state statutes.

Monthly Statistical Reports about enrollment is posted on the Monthly Statistical Report web page.

Medicaid covers pregnant women, children, families, people with disabilities, people who are elderly and need long term care, people who are in mental health crisis, and more. It pays for more than half the births in New Mexico.

Medicaid is paid for with federal dollars and state dollars at a ratio of approximately 70% federal, 30% state. Some programs within Medicaid, like the Long Term Care program, have different reimbursement ratios.

ONE-PAGE EXPLAINERS

We are building a library of simple “explainer” documents to help answer questions about various components of the Medicaid program, and will continue to update this page as we make more.

Children in State Custody (Medicaid coverage)

Community Health Workers & Care Coordinators: Billing Differences

Community Health Workers/Community Health Representatives as Providers

Comprehensive Addiction Recovery Act (CARA)

Home Visiting Program

Paid Caregivers in the Community Benefit Program

Primary Care Payment Reform Program