# New Mexico Health Care Authority
*Also known as HCA*

- Status: Unclaimed: compiled by Nowen from public sources, not reviewed by the company
- Website: https://www.hca.nm.gov
- AI agent profile: https://nowen.ai/agents/hca-nm-gov
- Updated: 2026-10-06
- Read by AI assistants from: Anthropic, Perplexity

> State health care authority coordinating Medicaid programs, public information, and health system oversight to improve access, quality, and accountability for residents.

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.

## Products & Services

### [Turquoise Care](https://www.hca.nm.gov/turquoise-care/)
*Platform*
Offers Medicaid beneficiaries integrated health plans, rewards, and additional services.
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: Pricing not published

- **Turquoise Care health plans** — Multiple Health Plan Options Available
- **Centennial Care 2.0 waiver application** — Facilitates Enrollment In Waivers
- **How to switch MCOs** — Provides Switching Guidance
- **Value-added services** — Includes Extra Support Services
- **Turquoise Care rewards** — Encourages Healthy Behaviors
- **Turquoise Care overview** — Provides Program Overview

### [PACE](https://www.hca.nm.gov/lookingforinformation/pace/)
*Service*
Provides comprehensive, coordinated care for the elderly through a public program.
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: Pricing not published

- **PACE Overview** — Offers Comprehensive Services
- **Eligibility Requirements** — Defines Qualification Criteria

### [Brain Injury Services Fund](https://www.hca.nm.gov/lookingforinformation/the-brain-injury-services-fund-program/)
*Service*
Supports individuals with brain injuries through funding and educational resources.
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: Pricing not published

- **Brain Injury Services Fund Overview** — Details Fund Support
- **Additional Programs for Medicaid-Eligible Individuals** — Provides Additional Support
- **Brain Injury Education and Training Opportunities** — Facilitates Training

### [Mi Via Waiver](https://www.hca.nm.gov/lookingforinformation/mi-via/)
*Service*
Empowers individuals to self-direct their services for enhanced independence.
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: Pricing not published

- **Mi Via Overview** — Promotes Self-Directed Services
- **Service Options** — Offers Comprehensive Service Choices
- **Eligibility Requirements** — Defines Eligibility Criteria

### [Developmentally Disabled Waiver](https://www.hca.nm.gov/lookingforinformation/developmentally-disabled/)
*Service*
Provides essential support and services to individuals with developmental disabilities.
Developmentally Disabled Home and Community Based Waiver for individuals with developmental disabilities.
- Pricing: Pricing not published

- **Support for Daily Living** — Enhances Quality of Life
- **Service Coordination** — Facilitates Access to Services
- **Eligibility Criteria** — Provides Clear Eligibility Guidelines
- **Community Integration** — Encourages Community Connection

### [Medically Fragile Waiver](https://www.hca.nm.gov/lookingforinformation/medically-fragile/)
*Service*
Provides essential support for medically fragile individuals through comprehensive care services.
Medically Fragile Home and Community Based Waiver for medically fragile individuals.
- Pricing: Pricing not published

- **Medically Fragile Waiver Overview** — Offers Comprehensive Services
- **Medically Necessary Services** — Ensures Access to Health Services
- **Eligibility Criteria** — Defines Qualification Requirements
- **Care Coordination Services** — Facilitates Access to Services

### [BeWell](https://bewellnm.com/)
*Platform*
Provides essential health information and resources for New Mexico residents.
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: Pricing not published

- **BeWell Overview** — Facilitates Access To Health Services
- **Public Assistance Information** — Assists With Public Benefits Applications
- **Consumer Health Education** — Educates Residents On Health Topics

### [HCA Data Book](https://www.hca.nm.gov/2025-data-book/)
*Product*
Access Comprehensive Data Metrics for New Mexico's Health Services.
HCA Data Book, a data compilation published by the New Mexico Health Care Authority for public access to information and performance metrics.
- Pricing: Pricing not published

- **Medicaid Eligibility Reports** — Access Medicaid Data
- **Health and Wellness Indicators** — Explore Wellness Metrics
- **Healthcare Access and Affordability Indicators** — Examine Healthcare Access
- **Health Insurance Coverage Indicators** — Review Insurance Coverage
- **Economic Indicators** — Access Economic Data
- **Population Indicators** — Review Demographic Data
- **Income and Poverty Indicators** — Assess Income Levels
- **Food Security Indicators** — Analyze Food Security

## Market Segments

- **Medicaid home and community-based waivers** (market size $13.0B, CAGR 5%): 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.
  - Products: Developmentally Disabled Waiver, Medically Fragile Waiver, Mi Via Waiver, PACE
- **Medicaid managed care and care coordination** (market size $99.0B, CAGR 14.31%): 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.
  - Products: Turquoise Care, PACE, Medically Fragile Waiver
- **Health program performance and outcomes analytics** (market size $6.7B, CAGR 16%): Dashboards and reports that measure program reach, quality, client outcomes, and comparative performance across states and providers to inform program management and policy.
  - Products: HCA Data Book, BeWell
- **Benefits education and decision support** (market size $2.5B, CAGR 12%): Capabilities that explain benefits, guide enrollment decisions, and surface analytics and personalized assistance (including AI-driven assistants) to boost benefits understanding and uptake.
  - Products: BeWell, Turquoise Care
- **Specialty program funding and workforce training for brain injury** (market size $500M, CAGR 5%): Funding, program administration, and education initiatives that support brain injury treatment, provider training, and services for Medicaid-eligible individuals.
  - Products: Brain Injury Services Fund

## Sources

- [New Mexico Health Care Authority](https://www.hca.nm.gov)
- [Turquoise Care](https://www.hca.nm.gov/turquoise-care/)
- [PACE](https://www.hca.nm.gov/lookingforinformation/pace/)
- [Brain Injury Services Fund](https://www.hca.nm.gov/lookingforinformation/the-brain-injury-services-fund-program/)
- [Mi Via Waiver](https://www.hca.nm.gov/lookingforinformation/mi-via/)
- [Developmentally Disabled Waiver](https://www.hca.nm.gov/lookingforinformation/developmentally-disabled/)
- [Medically Fragile Waiver](https://www.hca.nm.gov/lookingforinformation/medically-fragile/)
- [BeWell](https://bewellnm.com/)
- [HCA Data Book](https://www.hca.nm.gov/2025-data-book/)
- [In the 38 states ... total spending hit $9.9 billion in 2017.](https://www.techtarget.com/healthcarepayers/news/366603741/State-Medicaid-Programs-Boosted-HCBS-Waiver-Adoption-for-Senior-Care)
- [The United States care management solutions market Size was valued at USD 5.81 Billion in 2023; CAGR 14.31% (2023–2033).](https://www.sphericalinsights.com/reports/united-states-care-management-solutions-market)
- [approximately seven in 10 Medicaid beneficiaries are enrolled in managed care.](https://geigergibson.publichealth.gwu.edu/sites/g/files/zaxdzs4421/files/2023-08/rwjf-mmc-sdoh-final-report.pdf)
- [grow from US$ 15.4 billion in 2026 to US$ 36.7 billion by 2033 growing at a CAGR of 13.3%](https://www.persistencemarketresearch.com/market-research/healthcare-clinical-analytics-market.asp)
- [The global population health analytics market size was valued at USD 3.60 billion in 2025; CAGR 27.70% (2026–2034)](https://www.fortunebusinessinsights.com/population-health-analytics-market-113557)
- [projected to grow from USD 69.74 billion in 2026 to USD 213.27 billion by 2031, at a CAGR of 25.1%](https://www.marketsandmarkets.com/Market-Reports/healthcare-data-analytics-market-905.html)
- [By 2020 older adults projected to spend $15 trillion annually by 2020.](https://pmc.ncbi.nlm.nih.gov/articles/PMC5894246/)
- [Care Management Solutions Market was valued at USD 19.58 billion in the year 2025.](https://reanin.com/reports/care-management-solutions-market)
- [Global Decision Intelligence Market size is projected to reach USD 17.7 billion in 2025 and grow at CAGR of 16.9%.](https://dimensionmarketresearch.com/report/decision-intelligence-market/)
- [2024 Market Size$ 5.76 Billion](https://www.marketresearchfuture.com/reports/mild-traumatic-brain-injury-treatment-market-43523)
- [TBI Therapeutics Market valued at US$ 4.0 Bn in 2025 and growing at a CAGR of 6.0%](https://www.persistencemarketresearch.com/market-research/traumatic-brain-injury-therapeutics-market.asp)
- [Congressional Appropriations - $700 million FY21-24](https://cdmrp.health.mil/tbiphrp/default)