Presbyterian Hospice in Santa Fe and Espanola

Article: How to get Medicare and Medicaid to Pay for Assisted Living

Description

Situated in New Mexico, Presbyterian’s Healthcare at Home Hospice is an assisted living community that caters to seniors in the area. Hospice care, as offered by Presbyterian’s Healthcare at Home, emphasizes a peaceful and natural transition, allowing individuals precious time to engage in activities they hold dear. They extend a comprehensive range of hospice services, encompassing pain and symptom management, medication adjustments, respite care, and invaluable emotional and spiritual support.

Their services are thoughtfully delivered as part of Presbyterian Healthcare at Home, which operates under the umbrella of Presbyterian Española Hospital, ensuring a holistic approach to patient care. This community’s program is a compassionate source of physical, emotional, and spiritual support for patients and their families during a phase when curative treatments are no longer the primary choice.

Map

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Type of Care Available

Home Care Hospice Care

Claim What’s Yours: Financial Aid for New Mexico Seniors

Program

State Program Name

Eligibility

Benefits

Centennial Care Community Benefit

NM Medicaid Centennial Care

General: Age 65+ or disabled, New Mexico resident, Medicaid- eligible, long-term care need.
Income Limits (2025): ~$2,829/month (300% FBR, individual).
Asset Limits: $2,000 (individual), $3,000 (couple) (excludes home, car).
NM Specifics: Managed care model; rural outreach efforts.

Services: In-home care (5-7 hours/day, e.g., bathing, dressing), respite care (up to 240 hours/year), adult day care (~$65/day), medical services.

New Mexico Caregiver Support Program

NM NFCSP Respite

General: Caregiver of someone 60+ (or with dementia), New Mexico resident.
Income Limits: No strict limit; prioritizes low-income.
Asset Limits: Not applicable.
NM Specifics: Limited slots; rural focus due to sparse population.

Services: In-home respite (4-6 hours/day), adult day care (~$65/day), short-term facility care (up to 5 days).

Program of All-Inclusive Care for the Elderly (PACE)

New Mexico PACE (e.g., InnovAge New Mexico PACE)

General: Age 55+, NM resident (specific counties), NFLOC, safe with PACE support.
Income Limits (2025): ~$2,829/month (Medicaid-eligible); private pay option available.
Asset Limits: $2,000 (individual), $3,000 (couple) for Medicaid enrollees.
NM Specifics: Available in Bernalillo, Sandoval, Valencia Counties via InnovAge.

Services: Personal care (5-7 hours/day), medical care, meals, transportation, respite, therapies.

Older Americans Act (OAA) Services

New Mexico Older Americans Act Services

General: Age 60+, NM resident (or spouse of any age); no income/asset limits.
Income Limits (2025): None; sliding scale fees may apply for some services.
Asset Limits: Not assessed.
NM Specifics: Two AAAs (Albuquerque vs. Non-Metro); services vary by region.

Services: Meals (home-delivered or group, ~$5-$7/meal value), transportation, homemaker services (~4 hours/week), respite (5 days/year), adult day care ($50/day).

Medicare Savings Program (MSP)

New Mexico Medicare Savings Program

General: Age 65+ or disabled, NM resident, Medicare Part A/B.
Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits: None in NM (unique among states).
NM Specifics: No asset test; includes Extra Help for Part D.

Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).

Low-Income Home Energy Assistance Program (LIHEAP)

New Mexico LIHEAP

General: Age 60+ prioritized, NM resident, low-income household.
Income Limits (2025): ~$3,970/month (individual, 185% FPL).
Asset Limits: Not assessed; income-focused.
NM Specifics: Covers oil, gas, electric, wood; emergency aid available.

Services: Heating/cooling aid ($300-$1,000/season), emergency fuel ($450 max), weatherization.

Senior Community Service Employment Program (SCSEP)

New Mexico SCSEP

General: Age 55+, unemployed, low-income, NM resident.
Income Limits (2025): ~$1,983/month (125% FPL).
Asset Limits: Not specified; income-focused.
NM Specifics: Priority for veterans, rural residents; AARP partnership.

Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.

VA Aid and Attendance (A&A) and Housebound Benefits

New Mexico VA Aid and Attendance/Housebound

General: Age 65+ or disabled veteran/spouse, NM resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits: ~$155,356 (net worth limit).
NM Specifics: High veteran demand in rural/urban areas.

Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).

Property Tax Rebate for Seniors

New Mexico Property Tax Rebate

General: Age 65+, NM resident, homeowner or renter, paid property taxes.
Income Limits (2025): ~$36,000/year (individual, projected).
Asset Limits: Not assessed.
NM Specifics: Rebate up to $250-$500; annual application required.

Services: Tax rebate (~$250-$500/year) to offset housing costs.

Claim What’s Yours Financial Aid for New Mexico Seniors

NM Medicaid Centennial Care

Centennial Care Community Benefit

Eligibility

General: Age 65+ or disabled, New Mexico resident, Medicaid- eligible, long-term care need.
Income Limits (2025): ~$2,829/month (300% FBR, individual).
Asset Limits: $2,000 (individual), $3,000 (couple) (excludes home, car).
NM Specifics: Managed care model; rural outreach efforts.

Benefits

Services: In-home care (5-7 hours/day, e.g., bathing, dressing), respite care (up to 240 hours/year), adult day care (~$65/day), medical services.

NM NFCSP Respite

New Mexico Caregiver Support Program

Eligibility

General: Caregiver of someone 60+ (or with dementia), New Mexico resident.
Income Limits: No strict limit; prioritizes low-income.
Asset Limits: Not applicable.
NM Specifics: Limited slots; rural focus due to sparse population.

Benefits

Services: In-home respite (4-6 hours/day), adult day care (~$65/day), short-term facility care (up to 5 days).

New Mexico PACE (e.g., InnovAge New Mexico PACE)

Program of All-Inclusive Care for the Elderly (PACE)

Eligibility

General: Age 55+, NM resident (specific counties), NFLOC, safe with PACE support.
Income Limits (2025): ~$2,829/month (Medicaid-eligible); private pay option available.
Asset Limits: $2,000 (individual), $3,000 (couple) for Medicaid enrollees.
NM Specifics: Available in Bernalillo, Sandoval, Valencia Counties via InnovAge.

Benefits

Services: Personal care (5-7 hours/day), medical care, meals, transportation, respite, therapies.

New Mexico Older Americans Act Services

Older Americans Act (OAA) Services

Eligibility

General: Age 60+, NM resident (or spouse of any age); no income/asset limits.
Income Limits (2025): None; sliding scale fees may apply for some services.
Asset Limits: Not assessed.
NM Specifics: Two AAAs (Albuquerque vs. Non-Metro); services vary by region.

Benefits

Services: Meals (home-delivered or group, ~$5-$7/meal value), transportation, homemaker services (~4 hours/week), respite (5 days/year), adult day care ($50/day).

New Mexico Medicare Savings Program

Medicare Savings Program (MSP)

Eligibility

General: Age 65+ or disabled, NM resident, Medicare Part A/B.
Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits: None in NM (unique among states).
NM Specifics: No asset test; includes Extra Help for Part D.

Benefits

Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).

New Mexico LIHEAP

Low-Income Home Energy Assistance Program (LIHEAP)

Eligibility

General: Age 60+ prioritized, NM resident, low-income household.
Income Limits (2025): ~$3,970/month (individual, 185% FPL).
Asset Limits: Not assessed; income-focused.
NM Specifics: Covers oil, gas, electric, wood; emergency aid available.

Benefits

Services: Heating/cooling aid ($300-$1,000/season), emergency fuel ($450 max), weatherization.

New Mexico SCSEP

Senior Community Service Employment Program (SCSEP)

Eligibility

General: Age 55+, unemployed, low-income, NM resident.
Income Limits (2025): ~$1,983/month (125% FPL).
Asset Limits: Not specified; income-focused.
NM Specifics: Priority for veterans, rural residents; AARP partnership.

Benefits

Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.

New Mexico VA Aid and Attendance/Housebound

VA Aid and Attendance (A&A) and Housebound Benefits

Eligibility

General: Age 65+ or disabled veteran/spouse, NM resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits: ~$155,356 (net worth limit).
NM Specifics: High veteran demand in rural/urban areas.