Medical Assistance Division: NMAC Program Rule Manual
Program Rules (New Mexico Administrative Codes and Rules)
The Medicaid NMAC Program Rule Manual is located in the Provider Section of the website, click on the link below to be re-directed to the NMAC Program Rule Manual.
Medical Assistance Division: NMAC Eligibility Rule Manual
Individuals become eligible for Centennial Care, New Mexico's Medicaid Program, when they meet the specific criteria for one of the Medicaid eligibility categories. The links below give basic information about these eligibility categories. The actual process of determining eligibility is complex because numerous financial and non-financial factors are considered.
Regulations for Centennial Care are promulgated by the Human Services Department and Medical Assistance Division. The Department's Income Support Division offices make eligibility determinations for Medicaid, except for those categories administered by the Children, Youth and Families Department, the Social Security Administration, and the Premium Assistance programs.
For more information on eligibility please read The Eligibility Pamphlet.
For more information on the Category of Eligibility changes for The Affordable Care Act please read The Medicaid COEs Pamphlet.
The NMAC rule numbers can also be looked up on the NM Administrative Code website.