Legislative analysts: Medicaid costs keep rising as access and data shrink under 'Turquoise Care'

Oct 6, 2025

Legislative analysts told the Legislative Health & Human Services committee that Medicaid spending in New Mexico rose from $9.9 billion in FY23 to $10.96 billion in FY25 and is projected at $11.4 billion for FY26, even as enrollment declined; they warned that the Turquoise Care managed‑care rollout has reduced publicly available utilization data and that provider directories and appointment access remain poor.

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Dr. Allegra Hernandez, a health and human services analyst for the Legislative Finance Committee, told members the LFC’s latest Medicaid accountability review found three main problems: sharply rising costs, mixed quality outcomes despite rate investments, and reduced data access after the state’s managed‑care transition to "Turquoise Care." Hernandez said total Turquoise Care expenditures were $9.9 billion in FY23, $10.96 billion in FY25 and projected to reach $11.4 billion in FY26.

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