Health Care Assistance Program

109 W 1st Street
Portales, NM 88130
575.356-5307
575.356-8307 (fax)DSC_8504
Carol Acosta-Flores
Health Care Assistance Administrator

Do I qualify for medical assistance?

Eligible Service Providers covered under HCAP include:

– Hospitals
– Ground / Air Ambulance

 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)

Income Criteria:

- Single, $12,000
– Married, $16,000
– Each dependent up to 4, $1,200
– Maximum, $20,800

Click here for the Health Care Assistance Program (HCAP) Policy

Click here for the FY17 Annual Health Care Assistance Report.

Click here for the Application and Instructions.

Please print and completely answer all questions to expedite the application process.