New Mexico Medicaid Eligibility Calculator (2026)
New Mexico keeps young children in Medicaid up to $6,944 a month for a family of three — school-age children up to $5,578 — and adults up to $1,836.
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Eligibility checklist
Higher limits for younger children
Medicaid covers children under six to 240% of the poverty line with regular funds and to 300% with CHIP funds; children 6–18 are covered to 190%, then to 240% with CHIP funds. New Mexico has no separate CHIP.[MACPAC]
Pregnancy coverage runs to 250% of the poverty line.[MACPAC]
| Group | FPL | 1 | 2 | 3 | 4 | 6 |
|---|---|---|---|---|---|---|
| Adults 19–64 | 138% | $1,836 | $2,489 | $3,142 | $3,795 | $5,102 |
| Pregnancy | 255% | $3,392 | $4,599 | $5,806 | $7,013 | $9,427 |
| Under 1 | 305% | $4,057 | $5,501 | $6,944 | $8,388 | $11,275 |
| Ages 1–5 | 305% | $4,057 | $5,501 | $6,944 | $8,388 | $11,275 |
| Ages 6–18 | 245% | $3,259 | $4,419 | $5,578 | $6,738 | $9,057 |
Expansion with a safeguard
New Mexico implemented expansion on January 1, 2014 and has a trigger law that requires steps to offset lost federal funds rather than ending coverage outright.[KFF] Parents have their own group to 35% of the poverty line.[MACPAC]
Postpartum
New Mexico’s postpartum extension to a full year was approved June 16, 2022.[KFF] At 250% of the poverty line, its pregnancy limit is among the higher ones in the Mountain West.[MACPAC]
Applying
Apply through YES New Mexico; the Health Care Authority runs Medicaid. New Mexico offers no poverty-level or medically needy pathway for older adults, relying on SSI and the special income level for long-term care.[MACPAC]
Worked example
A Santa Fe parent with a 3-year-old and an 11-year-old earns $6,000 a month. That is 263.5% of the poverty line for 3.
| Child 1–5 | Medicaid (CHIP-funded) | $6,944 |
| Child 6–18 | over by $422 | $5,578 |
| Parent / caretaker | over by $2,858 | $3,142 |
Nearby: Arizona · Colorado · Oklahoma · Texas. How limits are applied · YES New Mexico · Report a correction