MedicaidAdministrativeMedium impact
Supplement 21-07: Funding Sources and Presumptive Eligibility
New Mexico Medicaid·NM·Medical Policy
Effective date
Nov 23, 2021
We identified it
Jun 21, 2026
Summary
New Mexico healthcare providers must now screen patients for all available funding sources (Medicaid/CHIP, beWellnm, county indigent care, hospital charity care) before billing patients for emergency or medically necessary care, as required by Senate Bill 71. Providers should prioritize billing federal funds first, then state funds, then other available funds.
Action Required
Immediately: Front desk and billing staff must implement screening process to check all available funding sources (Medicaid/CHIP, beWellnm, NMMIP, county indigent care, hospital charity care) before billing patients for emergency or medically necessary care. Update patient intake forms to include funding source screening. Prioritize billing federal funds first, then state funds, then other available funds. Consider training staff to become certified Presumptive Eligibility Determiners (PEDs) to help patients access immediate Medicaid coverage.