Rio Arriba County Health Care Assistance Program (HCAP)

 

Welcome to the Rio Arriba County Health Care Assistance Program (“HCAP”) is a program administered by the Board of County Commissioners and the HCAP Coordinator. The HCAP was established in accordance with the Indigent Hospital and County Health Care Act, NMSA 1978§ Chapter 27, Article 5 (“Indigent Act”)

 

The HCAP program provides assistance to medically indigent (“Patients”) who are residents of Rio Arriba County.

 

Before assistance can be provided, certain requirements will have to be met and the applicant must attend an interview in person and must be prepared to provide personal information.

 

DOCUMENTS NEEDED TO PROCESS AN APPLICATION  

Health Care Assistance Application 

Burial Application

  1. Copy of Income Tax with w2s for previous year or Social Security Check (If applicable)
  2. Proof of Residency (Property Tax Receipt) rent or lease agreement if you do not own property (Mexican Nationalist will need verification of legal citizenship in the US)
  3. Utility Bills (Light, Gas or Butane)                                  
  4. Picture Identification (Driver’s License)               
  5. Hospital Bill

 

INCOME QUALIFICATIONS

1- Dependent    $23,340.00                     6-Dependents                 $63,940.00

2 - Dependents   $31,460.00                    7- Dependents                $72,060.00

3 - Dependents   $39,580.00                    8- Dependents                $80,180.00

4 - Dependents   $47,700.00

5 - Dependents   $55,820.00                   

 for family units of more than 8 members add $4,960.00 for each additional member

 

SERVICES PROVIDED

  • Assistance with Co-Pays.

  • Assistance with Deductibles.

  • Burial Assistance (county will pay $200.00 to DeVargas Funeral Home and Rivera Funeral Home) will need a copy of statement from mortuary and death certificate before payment is made to mortuary.

  • Patient needs to be a RESIDENT of Rio Arriba County 90 days prior to date of service; patient/participant needs to contact the HCAP Office.

  • The range of payment from HCAP will be the minimum of $500.00 and the maximum of $4,000.00 per occurrence.

  •  Each applicant/participant is limited to a maximum of $6,000.00 of payments for each fiscal year.

 

Providers

  • Espanola Hosptial 

 

 

 

Contact Information:     

Shiela Vigil

TELEPHONE:  505 753-2992

Fax: 505 753-9397

 

Hours of Operation

Monday - Friday, 8AM-5PM

1122 INDUSTRIAL PARK ROAD                                                                 

PHONE:  505 753-2992                  

OFFICE HOURS:  8:00-5:00 CLOSED AT NOON

(CALL TO SCHEDULE AN APPOINTMENT)