Health Care Assistance Program
Sandoval County Health Care Assistance (HCAP) and Indigent Fund
Program Coordinator: (505) 771-7942
The Sandoval County Health Care Assistance Program (HCAP) assists eligible county residents with medical, ambulance, and prescription costs as follows (income restrictions apply):
| Service | Maximum per Claim | Maximum per Year |
|---|---|---|
| Ambulance
75% of Tariff Rate or $400, whichever is less |
$400 | $800 |
| Inpatient Hospital
75% of billed charge or $2500, whichever is less |
$2,500 | $5,000 |
| Outpatient Behavioral Health | $150 | $600 |
| Outpatient Primary Care
Includes lab tests |
$150 | $600 |
| Oral health Care
(Exams, X-rays, Cleaning) |
$200 | $200 |
| Pharmacy* | $800 | $800 |
| Indigent Burial
(Cremation) |
$600 | $600 |
*Eligible prescriptions and medications are based on the Medicaid formulary. All Schedule 2 medications and special $4.00 prescriptions are excluded.
Sandoval County HCAP Provider Forms
If you are a contracted provider for the Sandoval County Health Care Assistance Program, please use the links below to access application forms.Other Health Care Assistance Options
Please access information about other health care assistance options at the links below.
Insurance Options for New Mexico Residents