Health Care Assistance Program (HCAP)

 
Health Care Assistance Program Facts & Statistics

What is the Health Care Assistance Program (HCAP)?

The HCAP helps people who do not have medical insurance with their medical bills.
The Health Care Assistance Program (HCAP) is a medical assistance program funded by a 1/8th of one percent of County Gross Receipts Tax
and administered by the Board of County Commissioners who sit as the Indigent Hospital and County Health Care Board.

How do I qualify?
There are four citeria that need to be met to qualify for this program.
  1. Residency Requirements
  2. Income Limits
  3. Assets Limits
  4. Not Qualified for Medicaid

1. Residency
The claimant must be a San Juan County resident for a minimum
of 90 days(three months)immediately prior to date of service.
Acceptable forms of proof of residency include:

  • Utility Bills
  • Proof of Employment
  • Housing Costs
  • Bank or insurance info

List of Acceptable Documents for HCAP Assistance: Residency:
Document dated within the last 6 months; minimum of 2 of the following: 
Utility bill, property rental or purchase agreement, rent receipt, mortgage document, property tax bill, insurance bill/card/binder, bank statement

2. Income limits
Proof of income for 12 months immediately prior to date of
service is required.
  • Household of 1 $24,120
  • Household of 2 $32,480
  • Household of 3 $40,840
  • Household of 4 $49,200
  • Household of 5 $57,560
  • Household of 6 $65,,920
    • Add $4180 for each additional household member

List of Acceptable Documents for HCAP Assistance:

Income:

Tax returns, W-2’s, 1099’s; pay stubs, SS benefits statement, Profit/Loss statement, child support, public assistance

 
3. Liquid Asset limits

Proof of Liquid Assets/Resources is required. This proof can include:

  • Household of 1 $5,000
  • Household of 2 or more $10,000
  List of Acceptable Documents for HCAP Assistance: 

Assets: 
Current statement of investments to include stocks, bonds, or CD’s, and checking and savings accounts statements

 
 
4. Have you applied for Medicaid? (We can help!)
  • The HCA Program will not provide assistance to anyone who qualifies for Medicaid. Please inquire with the NM Income Support Division to determine if you qualify for Medicaid.
    A denial letter from the Medicaid office may be requested.
   

Apply for Centennial Care (Medicaid):  www.yes.state.nm.us or call 1-855-637-6574

Or, you can visit the local ISD Office at 101 W. Animas in Farmington.

 

How do I apply?
Applications are available at all provider sites or you may download your application here. A personal interview is required as part of the application process. Contact your provider to schedule an appointment. If you received services from an out-of-county hospital, please apply at the HCA Program office directly.

Indigent Healthcare Application

What medical services are covered?

Covered services include in-patient and out-patient hospital services, ambulance services, primary care, prescriptions, dental, drug and alcohol rehabilitation, out-patient mental health services, home health, and hospice services. Health care services that may be covered by the HCA Program must be provided by a participating hospital or non-profit facility approved by the Board and as defined in the Indigent Health Care Act, Section 27-5-4 NMSA 1978 Comp.

Urgent Care treatment is not covered.

HCAP Designated Health Care Providers/Agencies:

Please call (505) 334-4288 with any questions regarding the list of approved health care providers.

Contact Information:   
Office hours are 7:00 a.m. to 5:30 p.m.
Monday through Thursday

Health Care Assistance Program
100 South Oliver Drive
Azted, NM 87401

Phone: (505) 334-4288
FAX: (505) 334-4947

HCA Manager, Liza Gomez - Phone: (505) 334-4288, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.