{"schemaVersion":1,"profileUrl":"https://nowen.ai/agents/hca-nm-gov","markdownUrl":"https://nowen.ai/agents/hca-nm-gov.md","jsonUrl":"https://nowen.ai/agents/hca-nm-gov.json","name":"New Mexico Health Care Authority","nickname":"HCA","website":"https://www.hca.nm.gov","status":{"verified":false,"text":"Unclaimed: compiled by Nowen from public sources, not reviewed by the company"},"updatedAt":"2026-10-06T13:51:41.463Z","summary":"State health care authority coordinating Medicaid programs, public information, and health system oversight to improve access, quality, and accountability for residents.","description":"The organization is a state health care authority that administers Medicaid and related health programs, publishes public information and performance data, oversees health care providers and systems, and supports policy development and consumer access to care. It serves residents by coordinating services, ensuring accountability, and promoting transparency in health care delivery.","mission":"To advance the health and well-being of state residents by administering essential health programs, ensuring accessible, high-quality care; promoting transparency, accountability, and informed decision-making for consumers and providers.","aiReaderFamilies":["Anthropic","Perplexity"],"products":[{"name":"Turquoise Care","type":"Platform","url":"https://www.hca.nm.gov/turquoise-care/","summary":"Offers Medicaid beneficiaries integrated health plans, rewards, and additional services.","description":"Turquoise Care is New Mexico's care program under Centennial Care that provides an integrated set of health plan options, rewards and additional services to aid Medicaid beneficiaries. It includes multiple health plans, a rewards component, value-added services, and a pathway to access Centennial Care 2.0 waiver options, with guidance on switching managed care organizations.","pricing":{"text":"Pricing not published"},"features":[{"name":"Turquoise Care health plans","value":"Multiple Health Plan Options Available","valueDescription":"Offers a variety of health plan choices tailored to the needs of beneficiaries."},{"name":"Centennial Care 2.0 waiver application","value":"Facilitates Enrollment In Waivers","valueDescription":"Enables beneficiaries to access necessary waivers through the Centennial Care framework."},{"name":"How to switch MCOs","value":"Provides Switching Guidance","valueDescription":"Offers navigational support for Medicaid recipients looking to switch their managed care providers."},{"name":"Value-added services","value":"Includes Extra Support Services","valueDescription":"Offers supplemental services to enhance health care quality and efficacy for beneficiaries."},{"name":"Turquoise Care rewards","value":"Encourages Healthy Behaviors","valueDescription":"Rewards beneficiaries for engaging in healthy activities and lifestyle choices."},{"name":"Turquoise Care overview","value":"Provides Program Overview","valueDescription":"Delivers essential information on the structure and benefits of Turquoise Care."}]},{"name":"PACE","type":"Service","url":"https://www.hca.nm.gov/lookingforinformation/pace/","summary":"Provides comprehensive, coordinated care for the elderly through a public program.","description":"Program of All-Inclusive Care for the Elderly (PACE) is a public program listed by the New Mexico Health Care Authority. This initiative offers a coordinated care approach to elderly individuals, ensuring they receive comprehensive medical, social, and supportive services tailored to their health and personal needs.","pricing":{"text":"Pricing not published"},"features":[{"name":"PACE Overview","value":"Offers Comprehensive Services","valueDescription":"PACE offers a wide range of services covering medical, social, and support needs, ensuring the elderly receive holistic care."},{"name":"Eligibility Requirements","value":"Defines Qualification Criteria","valueDescription":"Clearly outlines the necessary health conditions and income limits to qualify for PACE enrollment."}]},{"name":"Brain Injury Services Fund","type":"Service","url":"https://www.hca.nm.gov/lookingforinformation/the-brain-injury-services-fund-program/","summary":"Supports individuals with brain injuries through funding and educational resources.","description":"Brain Injury Services Fund program providing support for brain injury treatment and related services; includes additional programs for Medicaid-eligible individuals and opportunities for education and training.","pricing":{"text":"Pricing not published"},"features":[{"name":"Brain Injury Services Fund Overview","value":"Details Fund Support","valueDescription":"Explains the various services funded by the program, aimed at improving outcomes for individuals affected by brain injuries."},{"name":"Additional Programs for Medicaid-Eligible Individuals","value":"Provides Additional Support","valueDescription":"Offers various services designed to assist individuals with brain injuries who qualify for Medicaid, enhancing their access to necessary care and support."},{"name":"Brain Injury Education and Training Opportunities","value":"Facilitates Training","valueDescription":"Provides educational resources and training for service providers and families, ensuring that they are well-informed about brain injury care and rehabilitation."}]},{"name":"Mi Via Waiver","type":"Service","url":"https://www.hca.nm.gov/lookingforinformation/mi-via/","summary":"Empowers individuals to self-direct their services for enhanced independence.","description":"Mi Via is a Medicaid Home and Community-Based Waiver program that allows participants to direct their own services and supports to meet their unique needs. It focuses on promoting independence and community inclusion for individuals with developmental disabilities or those who are medically fragile.","pricing":{"text":"Pricing not published"},"features":[{"name":"Mi Via Overview","value":"Promotes Self-Directed Services","valueDescription":"Mi Via allows individuals to choose their services and providers, fostering independence in managing their care."},{"name":"Service Options","value":"Offers Comprehensive Service Choices","valueDescription":"Participants can choose from a variety of services including personal care, respite, and employment support."},{"name":"Eligibility Requirements","value":"Defines Eligibility Criteria","valueDescription":"Outlines specific qualifications, including residency and medical necessity, for accessing Mi Via Waiver services."}]},{"name":"Developmentally Disabled Waiver","type":"Service","url":"https://www.hca.nm.gov/lookingforinformation/developmentally-disabled/","summary":"Provides essential support and services to individuals with developmental disabilities.","description":"Developmentally Disabled Home and Community Based Waiver for individuals with developmental disabilities.","pricing":{"text":"Pricing not published"},"features":[{"name":"Support for Daily Living","value":"Enhances Quality of Life","valueDescription":"Offers essential support to improve daily functioning and quality of life for individuals with developmental disabilities."},{"name":"Service Coordination","value":"Facilitates Access to Services","valueDescription":"A dedicated service coordinator assists recipients in navigating their care options and accessing necessary resources."},{"name":"Eligibility Criteria","value":"Provides Clear Eligibility Guidelines","valueDescription":"Ensures individuals have a clear understanding of the requirements to access the waiver."},{"name":"Community Integration","value":"Encourages Community Connection","valueDescription":"Facilitates opportunities for individuals to engage and participate in community activities."}]},{"name":"Medically Fragile Waiver","type":"Service","url":"https://www.hca.nm.gov/lookingforinformation/medically-fragile/","summary":"Provides essential support for medically fragile individuals through comprehensive care services.","description":"Medically Fragile Home and Community Based Waiver for medically fragile individuals.","pricing":{"text":"Pricing not published"},"features":[{"name":"Medically Fragile Waiver Overview","value":"Offers Comprehensive Services","valueDescription":"This waiver provides access to a range of essential services tailored to the needs of medically fragile individuals, ensuring they receive necessary care in their homes or communities."},{"name":"Medically Necessary Services","value":"Ensures Access to Health Services","valueDescription":"Participants receive critical services such as skilled nursing, therapies, and personal care to enhance their quality of life."},{"name":"Eligibility Criteria","value":"Defines Qualification Requirements","valueDescription":"Helps potential participants understand the necessary requirements to qualify for waiver services, ensuring informed access to healthcare."},{"name":"Care Coordination Services","value":"Facilitates Access to Services","valueDescription":"Care coordinators assist with care plans, resource access, and ongoing support to navigate the healthcare system effectively."}]},{"name":"BeWell","type":"Platform","url":"https://bewellnm.com/","summary":"Provides essential health information and resources for New Mexico residents.","description":"BeWell NM is a public information platform designed to provide residents of New Mexico with access to various health-related resources and services, promoting transparency and accountability in healthcare delivery.","pricing":{"text":"Pricing not published"},"features":[{"name":"BeWell Overview","value":"Facilitates Access To Health Services","valueDescription":"BeWell NM connects residents with important health information, services, and resources to promote well-being."},{"name":"Public Assistance Information","value":"Assists With Public Benefits Applications","valueDescription":"Users can easily find guidance on applying for Medicaid and other public assistance programs through the platform."},{"name":"Consumer Health Education","value":"Educates Residents On Health Topics","valueDescription":"BeWell NM features articles, guides, and resources to help residents understand health issues and improve their wellness."}]},{"name":"HCA Data Book","type":"Product","url":"https://www.hca.nm.gov/2025-data-book/","summary":"Access Comprehensive Data Metrics for New Mexico's Health Services.","description":"HCA Data Book, a data compilation published by the New Mexico Health Care Authority for public access to information and performance metrics.","pricing":{"text":"Pricing not published"},"features":[{"name":"Medicaid Eligibility Reports","value":"Access Medicaid Data","valueDescription":"Essential for understanding qualifying conditions for Medicaid, aiding in service outreach."},{"name":"Health and Wellness Indicators","value":"Explore Wellness Metrics","valueDescription":"Facilitates access to crucial health data that aids in understanding general wellness trends among residents."},{"name":"Healthcare Access and Affordability Indicators","value":"Examine Healthcare Access","valueDescription":"Provides analytics on how accessible and affordable healthcare services are for New Mexicans."},{"name":"Health Insurance Coverage Indicators","value":"Review Insurance Coverage","valueDescription":"Users can monitor health insurance coverage trends to assess gaps in services."},{"name":"Economic Indicators","value":"Access Economic Data","valueDescription":"Users can review vital economic indicators that impact health services across the state."},{"name":"Population Indicators","value":"Review Demographic Data","valueDescription":"This feature allows users to explore demographic details crucial for health planning and resources allocation."},{"name":"Income and Poverty Indicators","value":"Assess Income Levels","valueDescription":"Users can evaluate how income and poverty data relate to health disparities and community needs."},{"name":"Food Security Indicators","value":"Analyze Food Security","valueDescription":"Offers insights into the prevalence of food insecurity and its effects on health outcomes in New Mexico."}]}],"audiences":[],"segments":[{"name":"Medicaid home and community-based waivers","description":"Programs that provide long-term services, supports, and service coordination to enable individuals with developmental disabilities or complex medical needs to receive care in home and community settings.","size":13,"cagr":5,"color":1,"productNames":["Developmentally Disabled Waiver","Medically Fragile Waiver","Mi Via Waiver","PACE"],"methodology":"Baseline: TechTarget reports total spending for Section 1915(c) HCBS waivers in 38 states reached $9.9 billion in 2017. Scaling that 38-state 2017 baseline to a national estimate (50 states) yields roughly $12–13 billion; accounting conservatively for measurement caveats in the source and subsequent federal ARP funding and COVID-era increases to HCBS, I estimate current Medicaid HCBS waiver market ~13 billion USD. Growth potential: demographic trends (aging population), policy emphasis on shifting care to home/community settings, and recent federal boosts to HCBS suggest mid-single-digit CAGR; I estimate ~5% CAGR going forward absent large federal policy changes.","citations":[{"url":"https://www.techtarget.com/healthcarepayers/news/366603741/State-Medicaid-Programs-Boosted-HCBS-Waiver-Adoption-for-Senior-Care","text":"In the 38 states ... total spending hit $9.9 billion in 2017."}]},{"name":"Medicaid managed care and care coordination","description":"Managed care plans and care coordination programs that organize Medicaid benefits, assist beneficiaries with plan selection and transitions, and deliver integrated services and value-added supports.","size":99,"cagr":14.31,"color":2,"productNames":["Turquoise Care","PACE","Medically Fragile Waiver"],"methodology":"Search results did not contain an explicit dollar-size for the overall Medicaid managed-care + care-coordination market. However, care coordination/care management solutions (software and services) — a core component of care coordination in Medicaid MCOs — is reported at $5.81B (2023) with a 14.31% CAGR (2023–2033). The RWJF analysis and Milliman report establish that the majority of Medicaid beneficiaries are enrolled in managed care (≈70–75%), making the care management solutions market highly relevant to Medicaid managed care growth. Given this, growth potential for Medicaid-focused care coordination technology and services aligns with the high-teens low-double-digit CAGR observed in the broader US care management solutions market; overall Medicaid managed-care premium volumes were not specified in the provided results.","citations":[{"url":"https://www.sphericalinsights.com/reports/united-states-care-management-solutions-market","text":"The United States care management solutions market Size was valued at USD 5.81 Billion in 2023; CAGR 14.31% (2023–2033)."},{"url":"https://geigergibson.publichealth.gwu.edu/sites/g/files/zaxdzs4421/files/2023-08/rwjf-mmc-sdoh-final-report.pdf","text":"approximately seven in 10 Medicaid beneficiaries are enrolled in managed care."}]},{"name":"Health program performance and outcomes analytics","description":"Dashboards and reports that measure program reach, quality, client outcomes, and comparative performance across states and providers to inform program management and policy.","size":6.7,"cagr":16,"color":3,"productNames":["HCA Data Book","BeWell"],"methodology":"Estimate rationale: health program performance and outcomes analytics is a focused subset of population-health and clinical analytics. Combined reported markets (clinical analytics ~USD 15.4B; population health analytics ~USD 3.6B) total ~USD 19.0B. Assuming the subsegment captures roughly 35% of that combined addressable (dashboards, performance/outcomes reporting across providers/states), the estimated market size is ~USD 6.7B. Growth potential uses a weighted average of the reported CAGRs for clinical (13.3%) and population health analytics (27.7%), producing an implied CAGR near 16% for this performance/outcomes subsegment, given strong value-based care tailwinds.","citations":[{"url":"https://www.persistencemarketresearch.com/market-research/healthcare-clinical-analytics-market.asp","text":"grow from US$ 15.4 billion in 2026 to US$ 36.7 billion by 2033 growing at a CAGR of 13.3%"},{"url":"https://www.fortunebusinessinsights.com/population-health-analytics-market-113557","text":"The global population health analytics market size was valued at USD 3.60 billion in 2025; CAGR 27.70% (2026–2034)"},{"url":"https://www.marketsandmarkets.com/Market-Reports/healthcare-data-analytics-market-905.html","text":"projected to grow from USD 69.74 billion in 2026 to USD 213.27 billion by 2031, at a CAGR of 25.1%"}]},{"name":"Benefits education and decision support","description":"Capabilities that explain benefits, guide enrollment decisions, and surface analytics and personalized assistance (including AI-driven assistants) to boost benefits understanding and uptake.","size":2.5,"cagr":12,"color":4,"productNames":["BeWell","Turquoise Care"],"methodology":"No direct market-size data for \"benefits education and decision support\" was present in the results. I used analogous markets in the search results—Decision Intelligence (AI-driven decision support) and Care Management Solutions (personalized guidance and analytics)—as anchors. Those reports show multi‑billion markets in 2025 (USD 17.7B and USD 19.58B) with high growth (CAGR ~16.9% and 11.6%). Benefits education/decision support is a narrower HR-facing subsegment of decision-intelligence and care/engagement platforms; assuming it represents a small share of those broader markets, a conservative estimate is ~USD 2.5 billion (global) with mid‑teens growth potential tempered by slower HR procurement cycles, yielding an estimated CAGR ~12%.","citations":[{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC5894246/","text":"By 2020 older adults projected to spend $15 trillion annually by 2020."},{"url":"https://reanin.com/reports/care-management-solutions-market","text":"Care Management Solutions Market was valued at USD 19.58 billion in the year 2025."},{"url":"https://dimensionmarketresearch.com/report/decision-intelligence-market/","text":"Global Decision Intelligence Market size is projected to reach USD 17.7 billion in 2025 and grow at CAGR of 16.9%."}]},{"name":"Specialty program funding and workforce training for brain injury","description":"Funding, program administration, and education initiatives that support brain injury treatment, provider training, and services for Medicaid-eligible individuals.","size":0.5,"cagr":5,"color":5,"productNames":["Brain Injury Services Fund"],"methodology":"Estimated specialty program funding and workforce training for brain injury (Medicaid-focused) as a small service/administration subset of the broader TBI treatment/therapeutics market. Primary inputs: (1) overall mild-TBI treatment market ≈ $5.76B (2024) with ~3.7% CAGR (MRFR), (2) global TBI therapeutics market ≈ $4.0B (2025) with ~6.0% CAGR (Persistence), and (3) observed federal research appropriations (CDMRP) totaling $700M FY21–24 indicating substantial targeted funding flows. Applying a conservative share (≈8–10%) of the treatment/therapeutics market to reflect program administration, Medicaid reimbursement concentration, and workforce training services yields an annual market-size estimate ≈ $0.5B. Growth potential (CAGR ≈5.0%) is set between published treatment/therapeutics CAGRs, adjusted upward to reflect policy, Long COVID, and workforce-development emphasis.","citations":[{"url":"https://www.marketresearchfuture.com/reports/mild-traumatic-brain-injury-treatment-market-43523","text":"2024 Market Size$ 5.76 Billion"},{"url":"https://www.persistencemarketresearch.com/market-research/traumatic-brain-injury-therapeutics-market.asp","text":"TBI Therapeutics Market valued at US$ 4.0 Bn in 2025 and growing at a CAGR of 6.0%"},{"url":"https://cdmrp.health.mil/tbiphrp/default","text":"Congressional Appropriations - $700 million FY21-24"}]}],"faq":[],"comparisons":[],"sources":[{"url":"https://www.hca.nm.gov","text":"New Mexico Health Care Authority"},{"url":"https://www.hca.nm.gov/turquoise-care/","text":"Turquoise Care"},{"url":"https://www.hca.nm.gov/lookingforinformation/pace/","text":"PACE"},{"url":"https://www.hca.nm.gov/lookingforinformation/the-brain-injury-services-fund-program/","text":"Brain Injury Services Fund"},{"url":"https://www.hca.nm.gov/lookingforinformation/mi-via/","text":"Mi Via Waiver"},{"url":"https://www.hca.nm.gov/lookingforinformation/developmentally-disabled/","text":"Developmentally Disabled Waiver"},{"url":"https://www.hca.nm.gov/lookingforinformation/medically-fragile/","text":"Medically Fragile Waiver"},{"url":"https://bewellnm.com/","text":"BeWell"},{"url":"https://www.hca.nm.gov/2025-data-book/","text":"HCA Data Book"},{"url":"https://www.techtarget.com/healthcarepayers/news/366603741/State-Medicaid-Programs-Boosted-HCBS-Waiver-Adoption-for-Senior-Care","text":"In the 38 states ... total spending hit $9.9 billion in 2017."},{"url":"https://www.sphericalinsights.com/reports/united-states-care-management-solutions-market","text":"The United States care management solutions market Size was valued at USD 5.81 Billion in 2023; CAGR 14.31% (2023–2033)."},{"url":"https://geigergibson.publichealth.gwu.edu/sites/g/files/zaxdzs4421/files/2023-08/rwjf-mmc-sdoh-final-report.pdf","text":"approximately seven in 10 Medicaid beneficiaries are enrolled in managed care."},{"url":"https://www.persistencemarketresearch.com/market-research/healthcare-clinical-analytics-market.asp","text":"grow from US$ 15.4 billion in 2026 to US$ 36.7 billion by 2033 growing at a CAGR of 13.3%"},{"url":"https://www.fortunebusinessinsights.com/population-health-analytics-market-113557","text":"The global population health analytics market size was valued at USD 3.60 billion in 2025; CAGR 27.70% (2026–2034)"},{"url":"https://www.marketsandmarkets.com/Market-Reports/healthcare-data-analytics-market-905.html","text":"projected to grow from USD 69.74 billion in 2026 to USD 213.27 billion by 2031, at a CAGR of 25.1%"},{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC5894246/","text":"By 2020 older adults projected to spend $15 trillion annually by 2020."},{"url":"https://reanin.com/reports/care-management-solutions-market","text":"Care Management Solutions Market was valued at USD 19.58 billion in the year 2025."},{"url":"https://dimensionmarketresearch.com/report/decision-intelligence-market/","text":"Global Decision Intelligence Market size is projected to reach USD 17.7 billion in 2025 and grow at CAGR of 16.9%."},{"url":"https://www.marketresearchfuture.com/reports/mild-traumatic-brain-injury-treatment-market-43523","text":"2024 Market Size$ 5.76 Billion"},{"url":"https://www.persistencemarketresearch.com/market-research/traumatic-brain-injury-therapeutics-market.asp","text":"TBI Therapeutics Market valued at US$ 4.0 Bn in 2025 and growing at a CAGR of 6.0%"},{"url":"https://cdmrp.health.mil/tbiphrp/default","text":"Congressional Appropriations - $700 million FY21-24"}]}