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
- Copy of Income Tax with w2s for previous year or Social Security Check (If applicable)
- 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)
- Utility Bills (Light, Gas or Butane)
- Picture Identification (Driver’s License)
- Hospital Bill
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
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.
- Espanola Hosptial
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)