Medicaid

Arianna Sena

Psychiatric Meds In School—PASSED

Marisa Demarco / KUNM

Advocates have tried since 2011 to pass a bill that would create a new breed of mid-level dental care providers in New Mexico. It passed the state’s House of Representatives on Monday for the first time ever on a bipartisan vote. If the Senate gives it a thumb’s up before the session ends on Saturday at noon, it could mean a big change for dentistry. 

JZim534 via Flickr / Creative Commons License

Javier Martínez was familiar with home-visiting services when his son Camilo was born in January.

Martínez’s 2-year-old daughter Marisela participated in a program, which teaches parenting skills and provides other support for pregnant mothers and new parents and guardians. Such programs improve kids’ performance in school and beyond. And, as New Mexico In Depth and the Las Cruces Sun-News reported in December, home visiting is one way to help reduce fatal child abuse.

A New Mexico legislator is trying to help inmates sign up for Medicaid around the state. 

  Attorney General Hector Balderas released a 339-page audit by Public Consulting Group that caused the suspension of funding for 15 behavioral health providers in New Mexico.

Read the released audit here.

Arizona firms were hired to provide behavioral health services, and local providers have said they were unable to see or refute the specific fraud allegations against them. 

Chris Blakeley via Flickr / Creative Commons license

Roswell Mayor Dennis Kintigh reached into his shoulder bag and pulled out a four-page brochure Monday at the Roundhouse in Santa Fe.

The pamphlet the former Republican state lawmaker held begins with this statement in bold lettering: “The behavioral health system in Chaves County is in crisis.”

The brochure is the product of an ad hoc committee formed by a state court district judge in Roswell, Kintigh says. The pamphlet goes on to warn of the consequences when a community has too few services for the mentally ill and other vulnerable populations.

Lawsuit Argues Medicaid Evaluations Hurt Disabled

Aug 25, 2014
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.

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.

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.

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.

Wiki Creative Commons

UPDATE Feb.

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. 

Free App Enrolls New Mexicans in Obamacare

Dec 19, 2013
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.

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.

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

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.

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.

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:

Centennial Care Tribal Opt-Out Future Uncertain

Mar 15, 2013

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.

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.

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.

Centennial Care Tribal Opt-Out Clears Committee

Feb 14, 2013

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.

State Takes Another Step Toward Centennial Care

Feb 8, 2013
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.