About This Publication

Built by OPEN MINDS, the award-winning market intelligence firm that has tracked and analyzed every behavioral health market development for the past 25 years, this highly-detailed report explains how New Mexico‘s behavioral health system works – and provides all the market data, analysis, and “insider” insights executive teams need to build a successful strategic plan for operating or marketing in the state, including:

1. Health Care Coverage Map – A chart illustrating New Mexico’s health care coverage breakdown – by the Medicaid, Medicaid expansion, Medicare, dual eligibles, commercial insurance, and health insurance marketplace populations.
2. Largest Health Plans By Enrollment – A list of New Mexico’s largest health plans in operation in the state and a list of the largest health plans by SMI enrollment.
3. Medicaid System Overview – An easy-to-read snapshot of New Mexico’s Medicaid finance delivery system and risk-based arrangements.
4. Medicaid Governance – A chart showing how New Mexico’s Medicaid system is organized and the key players at the Medicaid department.
5. Medicaid Financing & Service Delivery – A close look at New Mexico’s Medicaid financing system, the population covered and which services are covered.
6. Pending Changes To Medicaid System – A clear timeline of the changes New Mexico plans to make over the next five years and any long-term initiatives that have been proposed.
7. New Initiatives For Dual Eligible Population – A review of any new programs in place or planned for New Mexico’s dual eligible population, including state-specific programs and the federal dual demonstration program.
8. State Mental Health & Addiction Treatment Department Organization Chart – A chart showing how the New Mexico mental health and addiction treatment system is organized and the key players at the mental health department.
9. Largest Organizations Providing Mental Health Services – A list of, by revenue, of the largest New Mexico organizations by outpatient services only, and a list, by revenue, of the largest New Mexico organizations with inpatient or residential services.
10. Health Care Reform Initiatives – A summary of how New Mexico has implemented the Medicaid expansion and health insurance marketplace.

New Mexico Behavioral Health System State Profile Report: Table Of Contents

1. New Mexico Behavioral Health System Overview
   1. New Mexico Health Care Coverage Map
   2. New MexicoPopulation Demographics
   3. New MexicoPopulation Distribution By Payer: National vs. State
   4. Largest New Mexico Health Plans By Enrollment
2. New Mexico Medicaid System Overview
   1. New Mexico Medicaid System Overview
   2. New Mexico Medicaid Governance
   3. New Mexico Medicaid System Benefits
   4. New Mexico Medicaid Program Spending
   5. New Mexico Medicaid Financing & Service Delivery
   6. New Mexico Medicaid Fee-For-Service
   7. New Mexico Medicaid Managed Care
   8. New Mexico Medicaid Medical & Health Home Initiatives
   9. New Mexico Medicaid Program Waivers With Impact On SMI Population
   10. Pending Changes To New Mexico Medicaid System
3. New Mexico Dual Eligible Financing & Service Delivery System
   1. New Mexico Dual Eligibles System & Financing Overview
   2. Largest Medicare Health Plans Serving Dual Eligible SMI Population In New Mexico
   3. New Mexico Medicaid Dual Eligible SMI Enrollment
   4. New Initiatives For Dual Eligible Population In New Mexico
4. New Mexico State Behavioral Health System
   1. New Mexico Mental Health & Addiction Services Department Budget
   2. New Mexico Mental Health & Addiction Treatment Department Organization Chart
   3. New Mexico Psychiatric Institutions
5. New Mexico State Behavioral Health Stakeholder Organizations
   1. Largest New Mexico Organizations Providing Mental Health Services, Outpatient Services Only, By Revenue
   2. Largest New Mexico Organizations Providing Mental Health Services, With Inpatient Or Residential Services, By Revenue
   3. Largest New Mexico Organizations Providing Addiction Treatment, Outpatient Services Only, By Revenue
   4. Largest New Mexico Organizations Providing Addiction Treatment, With Inpatient Or Residential Services, By Revenue
   5. New Mexico Behavioral Health Advocacy & Trade Organizations
   6. New Mexico Accountable Care Organizations (ACOs)
6. New Mexico Health Care Reform Initiatives
   1. New Mexico Medicaid Expansion & Health Insurance Marketplace Population
   2. New Mexico Health Care Reform Initiatives
   3. New Mexico Health Insurance Marketplace Plans
   4. New Mexico Essential Health Benefit Benchmark Plan
7. Appendices
   1. OPEN MINDS Estimates For The Share Of SMI Consumers By Payer/Plan
   2. Glossary Of Terms
   3. Sources