New Mexico Health Insurance Marketplace Grants Awards List
New Mexico has received four grant awards to build its Health Insurance Marketplace. This includes a Planning Grant and three Level One Establishment Grants.
Summaries of New Mexico's applications for each grant are provided below:
Establishment Grant Level One Application Summary
Administrator: New Mexico Human Services Department
Award Amount: $34,279,483; $18,600,000; $69,402,117
Award Date: November 29, 2011; July 9, 2013; January 22, 2014
Application Due Date: September 30, 2011; May 15, 2013; November 15, 2013
Level of Funding: Level One
Summary: New Mexico will use Level One funding to develop and establish the New Mexico Health Insurance Exchange over the next 12 months and to meet the timelines for certification and operation by 2014. The objectives for Level One funding are to: refine the Exchange vision and objectives to comply with laws and regulations; amend state law as necessary to comply with federal law; secure staff and consultant resources for Exchange planning, development, implementation, operations, and stakeholder engagement; develop and implement a multi-year Exchange business and operational plan, including the activities, timelines, and benchmarks and the IT infrastructure and functionality necessary to fully operate in 2014; develop systems and program capacity in each core area to achieve Exchange certification by January 2013; submit a Level Two Establishment grant application in March 2012; begin Exchange operations in 2014; and, determine funding mechanisms to be self-sustaining by 2015.
New Mexico Human Services Department’s additional Level One award will be used to support comprehensive outreach, education, and marketing activities; and fund costs training and standards for the establishing the State’s Navigator program, and support the operations of the State’s In-person assistance personnel (also known as non-Navigator assistance personnel). New Mexico’s award also includes funding for extensive outreach at local events. The State will partner with nonprofit organizations, counties, schools and universities, faith communities, providers, and business organizations. The State will provide targeted outreach and education to tribal sovereign Nations at health fairs and events, and create an educational website and hotlinks for Native Americans.
New Mexico’s third Level One award will largely support the state’s efforts in implementing Information Technology (IT) advancements for eligibility and enrollment in the individual Marketplace in 2015. The funding will also provide resources for outreach and education about the Marketplace.
State Planning Grant
Awarded September 30, 2010
Administrator: New Mexico Department of Human Services
Amount Awarded: $1,000,000
- Fund a financial modeling tool and report, which will identify the population of affected individuals and employers and project the effect of an Exchange(s) on the marketplace, populations of affected individuals, State expenditures and changes in spending by payer.
- Determine the changed distribution of health insurance coverage by payer and the change in health insurance coverage under all of the federal health care reform measures.
- Study and begin to implement the details of implementing the Exchange(s).
- Provide follow-up research and analyses, as suggested by the direction and inquiries made by the Legislature and the incoming Governor.
- Consider a regional Exchange for group purchasing or collective IT vendor.
- March 5, 2020 Information Related to COVID–19 Individual and Small Group Market Insurance Coverage
- March 12, 2020 FAQs on Essential Health Benefits Coverage and the Coronavirus (COVID-19)
- March 18, 2020 FAQs on Catastrophic Plan Coverage and the Coronavirus Disease 2019 (COVID-19)
- March 24, 2020 FAQs on Availability and Usage of Telehealth Services through Private Health Insurance Coverage in Response to Coronavirus Disease 2019 (COVID-19)
- March 24, 2020 Payment and Grace Period Flexibilities Associated with the COVID-19 National Emergency
- March 24, 2020 FAQs on Prescription Drugs and the Coronavirus Disease 2019 (COVID-19) for Issuers Offering Health Insurance Coverage in the Individual and Small Group Markets
- April 11, 2020 FAQs about Families First Coronavirus Response Act and the Coronavirus Aid, Relief, and Economic Security Act Implementation
*This document was updated on April 15, 2020, to correct an error in footnote 10 regarding the current end date of the public health emergency related to COVID 19.
- April 13, 2020 Postponement of 2019 Benefit Year HHS-operated Risk Adjustment Data Validation (HHS-RADV)