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Learn About CHIP in New Mexico

CHIP in New Mexico is provided through Centennial Care for Children, which is the state’s version of Medicaid for kids. The Children’s Health Insurance Program is a federal aid program designed to provide free or low-cost health care coverage to qualifying children and families around the country. This program is funded jointly by the federal government and the state. Centennial Care for Children is open to New Mexico residents who meet designated income and U.S. citizenship requirements. Eligible families must prove that their income is too high to qualify for Medicaid but too low to afford private health insurance. This program offers affordable health insurance for kids, covering services like doctor appointments, wellness checkups, hospital visits and medical supplies.

Each state determines the program benefits, exact application procedures and qualifications in accordance with certain federal guidelines. To learn more about CHIP eligibility requirements, the application process and covered services, continue reading the sections discussed below.

What is CHIP in New Mexico?

New Mexico provides CHIP insurance through Centennial Care for Children, formerly known as New MexiKids. Children younger than 21 years of age are eligible to receive services through this free or low-cost insurance plan. It is a combination CHIP Medicaid coverage plan, so all applicants are held to certain income and residency requirements. Centennial Care for Children covers uninsured children for vital health care services, including wellness checks, preventive care and treatment. Some enrollees qualify for free services, while others pay monthly premiums and make copayments for treatment.

CHIP coverage includes a variety of health care services, such as preventive care and responsive treatment. Enrollees must seek treatment from a provider who accepts Centennial Care for Children to avoid paying out-of-network costs.

For more information, download our informative guide.

Who does New Mexico CHIP cover?

To qualify for Centennial Care for Children, applicants must meet the CHIP eligibility requirements  determined by the state. These conditions vary across the country, though all states must abide by certain federal regulations. The New Mexico child health insurance plan offered through Centennial Care for Children is available for children who are not covered by any other form of health insurance. Applicants must meet the income requirements based on the size of their family. Additionally, the program is only open to New Mexico residents and U.S. citizens, nationals or other qualified noncitizens.

Many people wonder, “Can I get health insurance for my child only?” The fact is, Centennial Care for Children was created with the sole purpose of providing free or low-cost health care coverage to low-income families across the state. The program keeps kids in New Mexico healthy by covering the cost of vital medical services. In some circumstances, the program may also cover certain pregnant women.

How to Apply for CHIP in New Mexico

All candidates must submit a CHIP application to be considered for the program. Applying for health care coverage through Centennial Care for Children requires applicants to provide proof of meeting all the income, residency and household requirements of the program. Applications are processed by officials at the Human Services Department (HSD). There are a few ways to apply for benefits.

Applying for CHIP online is the fastest way to determine eligibility for the Centennial Care for Children program. The HSD encourages you to use its web portal to submit an online application. Before applying, you must register with an online account. Call the CHIP number for customer service if you need help with the registration or application process.

You may also apply for CHIP coverage by downloading the application, printing it, completing it with your information and mailing it to the scanning center. If you prefer applying in person, you may visit your nearest HSD field office.

You may need to submit a variety of documents during the application process, such as:

  • Proof of income
  • Proof of identity
  • Proof of residency

For more details on how to apply in your state, click here to download our in-depth guide.

What is included with New Mexico CHIP coverage?

New Mexico CHIP is administered through Centennial Care for Children. This program offers families a free or low-cost health care plan to keep their children healthy. The services covered under the program vary from state to state. All approved candidates receive the same benefits, regardless of income or household size. The cost of these benefits may vary depending on hosehold income.

The CHIP benefits provided by Centennial Care for Children include services like:

  • Wellness checks.
  • Doctor visits.
  • Dental cleanings.
  • Mental health counseling.
  • Pharmacy services.
  • Physical, occupational and speech therapy.

The above list is not all-inclusive. Be sure to check with your children’s primary care provider before seeking treatment to ensure he or she accepts Centennial Care for Children.

How much is CHIP health insurance in New Mexico?

CHIP insurance in New Mexico may have different costs for enrollees, depending in income and family size. During the CHIP application process, candidates for the program provide documents that show income, residency and household size. These factors are important in the state’s decision regarding the cost of services.

Some New Mexico CHIP enrollees will be required to make certain copayments to receive services. Copayments cannot exceed more than 5 percent of a family’s income. Likewise, some enrollees may be required to pay monthly premiums to stay enrolled in the program.

How long do CHIP benefits last in New Mexico?

CHIP coverage in Mexico must be renewed every 12 months. The Human Services Department (HSD) sends out notifications to all applicants when it is time to renew their benefits. Enrollees will continue receiving benefits as long as they renew on time and still qualify for the program.

Once your CHIP benefits expire, you must renew your plan. You may renew CHIP online using the same portal you use during the application process. Once you log in with your credentials, you can access important information about your benefits and the date that your benefits expire. The renewal period is also the time to report any changes to your home address, income, family size or other insurance coverage. The HSD reviews these changes to ensure you still qualify for coverage.