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New Mexico Medicaid for pregnant women

Who qualifies for Turquoise Care (New Mexico Medicaid), the income limit for your household size, what it covers and how to apply with New Mexico Health Care Authority.

Limits as of January 2026 · Checked October 2026 · 21 sources

Apply for Turquoise Care (New Mexico Medicaid)

New Mexico Health Care Authority runs it. We're not the state agency, so you apply with them, online or with help from your clinic or hospital.

Start your application

Opens hca.nm.gov

Check your income against the limit

Short answer

In New Mexico, you qualify for pregnancy Medicaid if your household earns up to 255% of the poverty level: about $55,182 a year for a household of two (you and the baby). Coverage lasts 12 months after birth. A qualified clinic or hospital can enroll you the same day.

New Mexico pregnancy Medicaid income limits for 2026

Find your household size and compare your household's income with the limit. Turquoise Care (New Mexico Medicaid) covers pregnancy up to 255% of the federal poverty level.

Turquoise Care (New Mexico Medicaid) income limits2026 guidelines, 48 states and DC
HouseholdPer yearPer month
2you + 1 baby$55,182$4,599
3$69,666$5,806
4$84,150$7,013
5$98,634$8,220
6$113,118$9,427
7$127,602$10,634
8$142,086$11,841

Annual and monthly household income. See the 2026 poverty guidelines

Your baby counts

For Medicaid, a pregnant woman's family size counts her plus the number of children she is expected to deliver (42 CFR 435.603(b)). A household of three in New Mexico, two adults expecting one baby, can earn up to $69,666 a year ($27,320 × 255%).

Limits are percents of the poverty level from KFF and Georgetown CCF (January 2026) and include the standard 5-point income disregard. New Mexico rounds and updates on its own schedule, so treat the dollars as approximate.

Sources: KFF State Health Facts; U.S. Department of Health and Human Services (Federal Register); eCFR (National Archives). Data as of October 2026.

How to apply in New Mexico

  1. Count your household

    Count yourself plus each baby you're expecting, and anyone else the state counts with you. Find your size in the table above.

  2. Apply with New Mexico Health Care Authority

    Apply on the state's site (hca.nm.gov). Go to the Turquoise Care (New Mexico Medicaid) application

  3. Ask for same-day coverage

    At your first prenatal visit, ask whether the clinic can enroll you through presumptive eligibility while your application is processed.

  4. Keep your coverage after birth

    Turquoise Care (New Mexico Medicaid) covers you for 12 months after the pregnancy ends.

Get covered today

Yes

Presumptive eligibility lets a qualified clinic or hospital enroll a pregnant person in temporary Medicaid right away, while the full application is processed.

New Mexico uses it for pregnancy. Ask at your first prenatal visit whether the clinic can enroll you.

Source: KFF and Georgetown University Center for Children and Families. Data as of January 2025.

12 months

of Turquoise Care (New Mexico Medicaid) coverage after birth, since April 1, 2022

KFF postpartum tracker, July 2026

What Turquoise Care (New Mexico Medicaid) covers for pregnancy

Coverage after birth, plus the three extras people ask about most, each from our state-by-state trackers.

After birth

12 months
Turquoise Care (New Mexico Medicaid) keeps covering you for 12 months after the pregnancy ends, a rule in place since April 1, 2022.
Postpartum coverage in every state

Doula care

Yes
In New Mexico, Medicaid covers doula care: up to $3,300 per pregnancy for nine 2-hour prenatal or postpartum visits a year, plus support during labor and delivery.We list 108 doulas in New Mexico.
Doulas in New MexicoDoula coverage in every state

Lactation support

Yes
In New Mexico, Medicaid pays for up to six lactation visits a year, and licensed lactation care providers can enroll and bill directly.
Lactation consultants in New MexicoLactation coverage in every state

Breast pump

Yes
In New Mexico, at least one Turquoise Care health plan (BCBSNM) covers breast pumps and replacement supplies with no prior authorization.
Breast pump rules in New Mexico and every state

What's changing

Rules that affect pregnancy coverage in New Mexico now and in 2027.

Sources: U.S. Government Publishing Office; Centers for Medicare & Medicaid Services; KFF and Georgetown University Center for Children and Families

More for families in New Mexico

All 50 states and DC

Questions about pregnancy Medicaid in New Mexico

What is the income limit for pregnancy Medicaid in New Mexico?

Turquoise Care (New Mexico Medicaid) covers pregnancy for household incomes up to 255% of the federal poverty level. At the 2026 guidelines that's about $55,182 a year for a household of two, $69,666 for three and $84,150 for four. Limits are KFF's figures as of January 2026.

Does my unborn baby count in my household size?

Yes. For Medicaid, a pregnant woman's family size counts her plus the number of children she is expected to deliver (42 CFR 435.603(b)). A single pregnant woman expecting one baby is a household of two; expecting twins, a household of three.

How long does Turquoise Care (New Mexico Medicaid) cover you after birth?

12 months after the pregnancy ends, a rule in place since April 1, 2022.

Can I get covered the same day in New Mexico?

Yes. New Mexico uses presumptive eligibility for pregnancy, so a qualified clinic or hospital can enroll you in temporary Medicaid the same day while your full application is processed.

How do I apply for pregnancy Medicaid in New Mexico?

Apply with New Mexico Health Care Authority at hca.nm.gov. Count yourself plus each baby you're expecting as your household, and compare your income with the limit for that size. We're not the state agency and can't take applications.

Does Turquoise Care (New Mexico Medicaid) pay for a doula?

In New Mexico, Medicaid covers doula care: up to $3,300 per pregnancy for nine 2-hour prenatal or postpartum visits a year, plus support during labor and delivery.

Do pregnant women have to meet the new Medicaid work requirements?

Public Law 119-21 (2025) requires states to apply Medicaid work (community engagement) requirements to expansion adults ages 19-64 starting no later than January 1, 2027 (states may start earlier; HHS may grant good-faith exemptions that end by December 31, 2028). People who are pregnant or entitled to postpartum coverage are exempt, as are parents and caretakers of a dependent child 13 or younger.

We're not New Mexico Health Care Authority and can't tell you whether you qualify. Apply at hca.nm.gov for a decision. Spot something out of date? Tell us and we'll check it against the state's own notice.

Sources

  1. 1.Medicaid and CHIP Income Eligibility Limits for Pregnant Women as a Percent of the Federal Poverty Level (as of January 2026) KFF State Health Facts. Accessed October 9, 2026.
  2. 2.Medicaid and CHIP Eligibility, Enrollment, and Renewal Policies as States Prepare for Major Medicaid Policy Changes (Table 2, January 2026) KFF and Georgetown University Center for Children and Families. Accessed October 9, 2026.
  3. 3.Medicaid Postpartum Coverage Extension Tracker (as of July 15, 2026) KFF. Accessed October 9, 2026.
  4. 4.Medicaid and CHIP Eligibility, Enrollment, and Renewal Policies as States Resume Routine Operations Following the Unwinding (Table 7: Presumptive Eligibility, January 2025) KFF and Georgetown University Center for Children and Families. Accessed October 9, 2026.
  5. 5.Turquoise Care (New Mexico Medicaid): how to apply New Mexico Health Care Authority. Accessed October 9, 2026.
  6. 6.CMS approval of New Mexico State Plan Amendment NM-22-0013 (12-month postpartum coverage), effective 2022-04-01 Centers for Medicare & Medicaid Services. Accessed October 9, 2026.
  7. 7.Annual Update of the HHS Poverty Guidelines (91 FR 1797, Jan. 15, 2026) U.S. Department of Health and Human Services (Federal Register). Accessed October 9, 2026.
  8. 8.42 CFR 435.603(b), definition of family size eCFR (National Archives). Accessed October 9, 2026.
Show all 21 sources
  1. 9.Public Law 119-21, sec. 71119: Requirement for States to Establish Medicaid Community Engagement Requirements (adds SSA sec. 1902(xx)) U.S. Government Publishing Office. Accessed October 9, 2026.
  2. 10.SHO #26-001: Implementation of Section 71109 "Alien Medicaid Eligibility" (April 8, 2026) Centers for Medicare & Medicaid Services. Accessed October 9, 2026.
  3. 11.42 CFR 447.56(a)(2)(ii), exemptions from Medicaid cost sharing: pregnancy-related services eCFR / Code of Federal Regulations.
  4. 12.Doula Medicaid Project: state-by-state chart of doula Medicaid efforts (last updated Sep. 2026) National Health Law Program (NHeLP). Accessed October 9, 2026.
  5. 13.New Mexico SPA 24-0004: Doula and lactation provider services CMS (Medicaid.gov). Accessed October 9, 2026.
  6. 14.Letter of Direction #47: Doula Services billing and reimbursement guidance (Jan 23, 2025) New Mexico Health Care Authority, Medical Assistance Division. Accessed October 9, 2026.
  7. 15.Doula Program New Mexico Department of Health. Accessed October 9, 2026.
  8. 16.Doula Frequently Asked Questions New Mexico Department of Health. Accessed October 9, 2026.
  9. 17.2026 Doula and Lactation Provider Managed Care Reference Guide NM Medicaid MCOs (BCBSNM, Molina, Presbyterian, UHC), NM Department of Health, NM Doula Association. Accessed October 9, 2026.
  10. 18.State Trends in Medicaid Coverage of Doula Services (published April 1, 2026; data as of March 2026) National Academy for State Health Policy (NASHP). Accessed October 9, 2026.
  11. 19.Supplement 24-23: Billing and Guidance for Lactation Care Providers in the Outpatient Setting New Mexico Health Care Authority, Medical Assistance Division. Accessed October 9, 2026.
  12. 20.BCBSNM Turquoise Care 2026 Member Handbook Blue Cross and Blue Shield of New Mexico (Turquoise Care MCO). Accessed October 9, 2026.
  13. 21.Medicaid Coverage of Pregnancy-Related Services: Findings from a 2021 State Survey KFF. Accessed October 9, 2026.