109 W 1st Street
Portales, NM 88130
Health Care Assistance Program
Do I qualify for medical assistance?
Health Care Assistance Program Eligibility Criteria includes:
– Application must be submitted within 90 days of service
– Applicant must be a Roosevelt County resident (at least 90 days prior to service)
– Single, $12,000
– Married, $16,000
– Each dependent up to 4, $1,200
– Maximum, $20,800
Eligible Service Providers covered under HCAP include:
– Ground Transport / Air Ambulance
Please print and completely answer all questions to expedite the application process.