Medicaid

Local News
10:26 am
Mon August 25, 2014

Lawsuit Argues Medicaid Evaluations Hurt Disabled

Credit jetheriot via Flickr / Creative Commons License

Family members of developmentally disabled New Mexicans suing the state say a Medicaid assessment system puts recipients of services at risk.

The Albuquerque Journal reports attorneys for eight families asked a judge Wednesday to halt a new method for evaluating recipients to determine their level of services, which can include 24-hour residential care as well as occupational and speech therapy.

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Public Health New Mexico
3:16 pm
Sun March 30, 2014

Hundreds Head To Santa Fe Health Care Event Ahead Of Deadline

Young Invincibles and older adults and families wait to sign up for healthcare in Santa Fe
Deborah Martinez

Midnight Monday is the deadline to sign up for healthcare under the Affordable Care Act.  Over the weekend in New Mexico people lined up to get covered, either through the insurance marketplace or Medicaid.  

From those in their 60s to young people under 26 covered under their parents’ plan, hundreds stood in the bright spring sunshine sign up under Medicaid, or with one of four insurance plans.

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Public Health New Mexico
3:59 pm
Tue March 11, 2014

Governor Signs Community Health Workers Act

"National studies have documented the effective use of highly trained community health workers, particularly in rural and frontier areas." —Community Health Worker Act Fiscal Impact Report
Credit Ken Lund via Flickr

Community health workers can be paid through Medicaid after a measure signed by Gov. Susana Martinez on Sunday, March 9, goes into effect. As things stand, workers’ salaries are primarily funded by grants.

The legislation also creates a state certification program and funding for trainings.

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Public Health New Mexico
3:27 pm
Mon March 3, 2014

Funding For Developmental Disability Services Still Stalled

The Tatzes play with golden retriever Jelly Bean
Deborah Martinez

Thousands of people with developmental disabilities in New Mexico have been waiting to receive the full spectrum of services available through a government program, some for more than 10 years.  The Tatz family is inching towards that benchmark, as they and their kids grow older.   

“I had back surgery," Lesly Tatz announced. Lesly's mom, Jill Tatz, explained, "She has had medical issues, and had open heart surgery at 18 months.” Her daughter has had numerous surgeries.

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Public Health New Mexico
1:58 pm
Wed January 29, 2014

Breakdown Of 2014 Public Health Legislation

Credit Wiki Creative Commons

UPDATE Feb.

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Public Health New Mexico
1:12 pm
Thu December 19, 2013

Behavioral Health Chief Steps Down

Diana McWilliams

The director of the state's Behavioral Health Services Division is resigning. Diana McWilliams submitted her resignation letter on Monday, Dec. 16, and her last day is tomorrow. She'll be heading back east to Philadelphia to become the chief operating officer for a nonprofit behavioral health and child welfare organization, she said. 

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Public Health New Mexico
11:54 am
Thu December 19, 2013

Free App Enrolls New Mexicans in Obamacare

Credit Cheon Fong Liew via Compfight cc

Medical residents at UNM created a free app to help New Mexicans get hooked into health care.

The app, called Get Covered New Mexico, can aid folks in calculating what they're eligible for. It links directly to websites people can use to apply for Medicaid and the health care exchange. It also points the way to the nearest physical location to apply for services in-person.

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Public Health New Mexico
1:51 pm
Thu October 31, 2013

63,000 New Mexicans To Transition Health Plans Under ACA

Under the Affordable Care Act, around 63,000 New Mexicans will need to buy new health insurance policies by the end of the year. Those plans could cost more and cover more.

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Public Health New Mexico
5:05 pm
Wed October 23, 2013

Secrecy Surrounds Fraud Allegations In New Mexico Mental Health Audit

Many pages of the behavioral health audit were partially or fully redacted.

In June, New Mexico’s Behavioral Health care system was thrown into chaos — the state abruptly froze Medicaid payments to more than a dozen mental health providers in the state after an audit allegedly found widespread

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Public Health New Mexico
1:34 pm
Fri September 13, 2013

Timeline: New Mexico's Shake Up Of Behavioral Health Providers

N.M. Human Services Department Secretary Sidonie Squier reviews behavioral health audit findings with Attorney General Gary King at the Legislative Finance Committee's July 17 meeting in Albuquerque.
Credit Bryant Furlow / New Mexico In Depth

At the end of June, 15 New Mexico behavioral health agencies had their Medicaid funding frozen by the state's Human Services Department due to “credible allegations of fraud.”

The agencies provide services to approximately 30,000 patients, many who seek help for mental health issues ranging from substance abuse treatment to schizophrenia.

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Public Health New Mexico
2:35 pm
Tue September 3, 2013

Service Disruptions Mark Transition Of New Mexico Behavioral Health To Arizona Hands

On June 24, New Mexico's Human Services Department announced that an audit found "credible allegations of fraud" for

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Local News
1:38 pm
Fri July 26, 2013

Arizona Companies Prepare To Manage New Mexico Behavioral Health Providers

N.M. Legislative Finance Committee members listen as NMHSD Secretary Squier defended her suspension of Medicaid payments to 15 behavioral health providers.
Credit Bryant Furlow

When the New Mexico Human Services Department (NMHSD) announced last month it would suspend Medicaid payments to 15 behavioral health providers, Joe Frechen was worried.

For nearly 20 years, Frechen has worked as psychiatrist in Southern New Mexico with some of the most vulnerable patients in the region.

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Poverty and Public Health
5:00 pm
Fri April 19, 2013

Medicaid Expansion Brings Finances And Competition To Indian Health Service

Credit Indian Health Service

Around 25-thousand Native Americans in New Mexico will become eligible for Medicaid when the Affordable Care Act goes into effect next year.  The change translates to more money for the Indian Health Service. But as KUNM’s Poverty and Public Health Reporter Tristan Ahtone explains: in Albuquerque, Medicaid expansion will also force Native health providers to deal with something they’ve never faced before: competition from non-tribal health programs.

TRANSCRIPT:

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Poverty and Public Health
6:36 pm
Fri March 15, 2013

Centennial Care Tribal Opt-Out Future Uncertain

Tribal health advocates say the clock is running out for legislation that would prohibit the state from forcing Native American Medicaid enrollees into mandatory managed care.


House Bill 376 aims to provide New Mexico's Medicaid-eligible tribal population the ability to opt-in to the states mandatory Medicaid managed care program, Centennial Care.

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Poverty and Public Health
4:32 pm
Tue February 26, 2013

Tribal Health Advocates Watch Centennial Care Opt-Out Bill Advance

A bill that would remove the mandatory requirement that Native American Medicaid recipients enroll in a state run managed care program is now heading to the Senate.

Centennial Care, New Mexico’s planned Medicaid program, would require all Medicaid users to enroll with one of four managed care organizations (MCO) contracted with the state.

Under the program, the Indian Health Service, as well as Tribal and urban clinics, would have to bill those same MCO’s for services provided, instead of going directly to the state for reimbursement.

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Poverty and Public Health
8:39 pm
Wed February 20, 2013

House Judiciary Committee Supports Medicaid Tribal Opt-Out

A bill that would prohibit the mandatory enrollment of Native Americans in the states Medicaid managed care program, Centennial Care, has passed through the House Judiciary Committee unanimously.

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Poverty and Public Health
5:28 pm
Thu February 14, 2013

Centennial Care Tribal Opt-Out Clears Committee

A bill that would allow Medicaid eligible tribal citizens in New Mexico to opt-out of the states Medicaid plan, Centennial Care, has taken it’s first steps in the legislature. HB 376, which gives Native Americans the ability to opt-out of Centennial Care has passed out of committee.

Under the states proposed Medicaid program entitled Centennial Care, all Medicaid enrollees in the state would be required to enroll in one of four managed care organizations (MCO) to receive healthcare.

For New Mexico’s tribal population, this proposal is causing problems.

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Poverty and Public Health
5:05 pm
Fri February 8, 2013

State Takes Another Step Toward Centennial Care

Credit Parker Dennison

The New Mexico Human Services Department has announced the selection of four, new Centennial Care Managed Care Organizations responsible for providing healthcare to nearly 600,000 New Mexicans.

Medicaid is the public health insurance program for low-income people which currently serves about 560,000 New Mexicans, and will expand to include about 170,000 more come 2014. Centennial Care is the new name for New Mexico’s Medicaid program.

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