Residents of New Mexico, anyone under age 21 is eligible if diagnosed with chronic medical conditions or disabilities that require surgical or medical treatment or limit activities. For CMS payment/coverage, there are also financial guidelines.

These conditions are automatically qualifying:

• Cancer
• Cardiac Disease
• Cerebral Palsy
• Cleft Lip & Palate
• Cystic Fibrosis
• Diabetes
• Epilepsy with Seizure Medications
• Juvenile Rheumatoid Arthritis
• Lupus
• Renal Failure
• Spina Bifida

Adults are eligible if they have genetic/metabolic or cystic fibrosis who are eligible for lifelong services.

CMS offers medical services through multidisciplinary pediatric specialty clinics, private providers and public agencies. Diagnostic medical services, information and referral, case management and pre-school developmental evaluations are also available, regardless of income.

Service Include:

• Medical Management- may include payment for diagnostic services, hospitalizations, physician’s services, and some therapies.
• Multidisciplinary Pediatric Specialty Clinics- including asthma, cleft palate, genetic, metabolic, nephrology, neurology, and endocrinology clinics
• Care Coordination
• Transition Planning for Youth with Special Health Care needs
  Newborn Genetic Screening and Follow-up & Newborn Hearing Screening and Follow-up

Provides routine appointments, preventative care, and urgent and emergency care services and pediatric specialists care for children.

Services Include:

• Allergy & Immunology
• Blood Disorders & Cancers
• Behavioral Health
• Cleft & Craniofacial Clinic
• Dermatology
• Ear, Nose & Throat
• Endocrinology & Diabetes
• Eye Care
• Gastroenterology
• Genetic Disorders
• Heart Care
• Infectious Disease
• Kidney Care
• Neurology