reglab/statecodes huggingface dataset:
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 249 - MEDICAL ASSISTANCE PROGRAM ELIGIBILITY - REFUGEE MEDICAL ASSISTANCE (RMA) PROGRAM › Part 600 - BENEFIT DESCRIPTION › Section 8.249.600.15 - CHANGES AND REDETERMINATIONS OF ELIGIBILITY

Current through Register Vol. 35, No. 13, July 16, 2024
A. A
				re-determination of eligibility is not required.
B. Changes in income are not reportable.
				Reported income changes are not acted upon.
C. A refugee who received medicaid for 11 or
				fewer months during the RMA period is eligible for RMA for any remaining months
				in the 12-month RMA period. Eligibility for RMA is determined without a new
				eligibility determination or application.
D. Residence changes must be reported within
				10 days after the change for individuals placed in a public institution or
				those individuals moving out of New Mexico. Refer to 8.200.450 NMAC.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 400 - RECIPIENT REQUIREMENTS › Section 8.250.400.1 - ISSUING AGENCY

Current through Register Vol. 35, No. 13, July 16, 2024
New Mexico Health Care Authority.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 400 - RECIPIENT REQUIREMENTS › Section 8.250.400.2 - SCOPE

Current through Register Vol. 35, No. 13, July 16, 2024
The rule applies to the general public.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 400 - RECIPIENT REQUIREMENTS › Section 8.250.400.3 - STATUTORY AUTHORITY

Current through Register Vol. 35, No. 13, July 16, 2024
The New Mexico medicaid program and other health care
				  programs are administered pursuant to regulations promulgated by the federal
				  department of health and human services under Title XIX of the Social Security
				  Act as amended or by state statute. See NMSA 1978, Section 27-1-12 et seq.
				  Section 9-8-1 et seq. NMSA 1978 establishes the health care authority (HCA) as
				  a single, unified department to administer laws and exercise functions relating
				  to health care facility licensure and health care purchasing and regulation.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 400 - RECIPIENT REQUIREMENTS › Section 8.250.400.4 - DURATION

Current through Register Vol. 35, No. 13, July 16, 2024
Permanent.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 400 - RECIPIENT REQUIREMENTS › Section 8.250.400.5 - EFFECTIVE DATE

Current through Register Vol. 35, No. 13, July 16, 2024
January 1, 2014, unless a later date is cited at the end of a
				  section.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 400 - RECIPIENT REQUIREMENTS › Section 8.250.400.6 - OBJECTIVE

Current through Register Vol. 35, No. 13, July 16, 2024
The objective of this rule is to provide specific
				  instructions when determining eligibility for the medicaid program and other
				  health care programs. Generally, applicable eligibility rules are detailed in
				  the medical assistance division (MAD) eligibility, 8.200 NMAC,
Medicaid
				  Eligibility - General Recipient Policies Processes
for establishing
				  and maintaining medicaid eligibility are detailed in the income support
				  division (ISD) general provisions, 8.100 NMAC,
General Provisions for
				  Public Assistance Programs
.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 400 - RECIPIENT REQUIREMENTS › Section 8.250.400.7 - DEFINITIONS

Current through Register Vol. 35, No. 13, July 16, 2024
[RESERVED]
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 400 - RECIPIENT REQUIREMENTS › Section 8.250.400.8 - MISSION

Current through Register Vol. 35, No. 13, July 16, 2024
To reduce the impact of poverty on people living in New
				  Mexico by providing support services that help families break the cycle of
				  dependency on public assistance.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 400 - RECIPIENT REQUIREMENTS › Section 8.250.400.9 - QUALIFIED INDIVIDUALS 1 (QI1s) - CATEGORY 042

Current through Register Vol. 35, No. 13, July 16, 2024
Medical assistance division (MAD) pays the monthly medicare
				  Part B insurance premium for eligible recipients with income between 120
				  percent and 135 percent of the federal poverty level (FPL) who are not
				  otherwise eligible for another medical assistance program category of
				  eligibility (QI1s). A QI1 recipient must be covered by medicare Part A. The
				  Part A insurance is a free entitlement to social security beneficiaries who are
				  65 years of age or older or who have received social security disability
				  payments for 24 months. Fully or currently insured workers, or their
				  dependents, with end-stage renal disease are also covered under medicare.
				  Eligible recipients will be served on a first come, first served basis,
				  contingent upon availability of federal funds. Eligibility will be offered to
				  individuals on a yearly basis. After 1998, eligible recipients currently
				  enrolled in the program will get the first opportunity to continue to receive
				  benefits under this program.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 400 - RECIPIENT REQUIREMENTS › Section 8.250.400.10 - BASIS FOR DEFINING THE GROUP

Current through Register Vol. 35, No. 13, July 16, 2024
QI1s are individuals who would be qualified medicare
				  beneficiaries (QMB) but for the fact that their income exceeds the income
				  levels established for QMB and specified low income medicare beneficiaries
				  (SLIMB). Income eligibility for the QI1s is at least 120 percent of the FPL,
				  but less than 135 percent. The state of New Mexico (the state) will permit all
				  individuals to apply for assistance during a calendar year beginning 1998.
				  However, because of the capped allotments, the state shall limit the number of
				  participants in QI1s selected in a calendar year so that the aggregate amount
				  of benefits provided to such individuals in the calendar year is estimated not
				  to exceed the state's allocation for the fiscal year ending in that calendar
				  year. The state shall select QI1s on a first-come, first-served basis (in the
				  order in which they apply). For calendar years after 1998, the state shall give
				  preference to individuals who were QI1s, QMBs, SLIMBs, or qualified disabled
				  working individuals (QDWI) in the last month of the previous year and who
				  continue to be or become QI1s.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 400 - RECIPIENT REQUIREMENTS › Section 8.250.400.12 - ENUMERATION

Current through Register Vol. 35, No. 13, July 16, 2024
QI1 applicants or re-determining recipients must furnish
				  their social security numbers (SSN). QI1 eligibility shall be denied or
				  terminated for applicants or re-determining recipients who fail to furnish
				  social security numbers.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 400 - RECIPIENT REQUIREMENTS › Section 8.250.400.13 - CITIZENSHIP

Current through Register Vol. 35, No. 13, July 16, 2024
A. Undocumented
				aliens cannot purchase medicare coverage and, therefore, are not eligible for
				QI1 benefits. To be eligible for QI1 an applicant or re-determining recipient
				must be one of the following:
(1) a citizen of
				the United States; or
(2) an alien
				who entered the United States prior to August 22, 1996, as one of the classes
				of aliens described in 8.200.410 NMAC or an alien who entered the United States
				as a qualified alien on or after August 22, 1996, and who has met the five year
				bar listed in 8.200.410 NMAC.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 400 - RECIPIENT REQUIREMENTS › Section 8.250.400.14 - RESIDENCE

Current through Register Vol. 35, No. 13, July 16, 2024
An individual must physically present in New Mexico on the
				  date of his or her application or re-determination or on the eligibility
				  determination date and intends to remain in the state. If the applicant or
				  re-determining recipient does not have the present mental capacity to declare
				  intent, the parent, guardian, or adult child can assume responsibility for a
				  declaration of intent. If there is no guardian or relative to assume
				  responsibility for a declaration of intent, the state in which the applicant or
				  re-determining recipient is living is recognized as the state of residence. A
				  temporary absence from the state does not preclude eligibility. A temporary
				  absence is considered to exist when the eligible recipient leaves the state for
				  a specific purpose with a time-limited goal, after the accomplishment of which
				  the eligible recipient intends to return to New Mexico. Refer to
				  8.200.410.12
				  NMAC.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 400 - RECIPIENT REQUIREMENTS › Section 8.250.400.15 - NONCONCURRENT RECEIPT OF ASSISTANCE

Current through Register Vol. 35, No. 13, July 16, 2024
An applicant or re-determining recipient is not eligible for
				  Category 042 if he or she is eligible under another medical assistance category
				  of eligibility or if receiving medicaid services from another
				  state.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 400 - RECIPIENT REQUIREMENTS › Section 8.250.400.16 - SPECIAL RECIPIENT REQUIREMENTS

Current through Register Vol. 35, No. 13, July 16, 2024
An applicant or re-determining recipient for QI1 eligibility
				  must meet the specified age or disability requirements to be eligible for
				  medicare Part A.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 400 - RECIPIENT REQUIREMENTS › Section 8.250.400.17 - RECIPIENT RIGHTS AND RESPONSIBILITIES

Current through Register Vol. 35, No. 13, July 16, 2024
It is the responsibility of the applicant or re-determining
				  recipient to provide the required information, documents or undertake the
				  actions necessary for HSD to establish eligibility. The applicant or
				  re-determining recipient must grant HSD permission to contact other persons,
				  agencies or sources of information which are necessary in the establishment of
				  eligibility. Failure of the applicant or re-determining recipient to provide or
				  take action will result in a HSD action to deny eligibility.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 400 - RECIPIENT REQUIREMENTS › Section 8.250.400.19 - REPORTING REQUIREMENTS

Current through Register Vol. 35, No. 13, July 16, 2024
An applicant, re-determining or eligible recipient must
				  report any change in his or her circumstances which can affect his or her
				  eligibility within 10 calendar days after the change to his or her local income
				  support division (ISD) office. Refer to
				  8.200.430.19
				  NMAC.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.250.500.1 - ISSUING AGENCY

Current through Register Vol. 35, No. 13, July 16, 2024
New Mexico Health Care Authority.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.250.500.2 - SCOPE

Current through Register Vol. 35, No. 13, July 16, 2024
The rule applies to the general public.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.250.500.3 - STATUTORY AUTHORITY

Current through Register Vol. 35, No. 13, July 16, 2024
The New Mexico medicaid program and other health care
				  programs are administered pursuant to regulations promulgated by the federal
				  department of health and human services under Title XIX of the Social Security
				  Act as amended or by state statute. See Section 27-1-12 et seq. NMSA 1978.
				  Section 9-8-1 et seq. NMSA 1978 establishes the health care authority (HCA) as
				  a single, unified department to administer laws and exercise functions relating
				  to health care facility licensure and health care purchasing and regulation.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.250.500.4 - DURATION

Current through Register Vol. 35, No. 13, July 16, 2024
Permanent.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.250.500.5 - EFFECTIVE DATE

Current through Register Vol. 35, No. 13, July 16, 2024
January 1, 2014, unless a later date is cited at the end of a
				  section.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.250.500.6 - OBJECTIVE

Current through Register Vol. 35, No. 13, July 16, 2024
The objective of this rule is to provide specific
				  instructions when determining eligibility for the medicaid program and other
				  health care programs. Generally, applicable eligibility rules are detailed in
				  the medical assistance division (MAD) eligibility policy manual, specifically
				  8.200.400 NMAC,
General Medicaid Eligibility
. Processes for
				  establishing and maintaining MAD eligibility are detailed in the income support
				  division (ISD) general provisions 8.100 NMAC,
General Provisions for
				  Public Assistance Programs
.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.250.500.7 - DEFINITIONS

Current through Register Vol. 35, No. 13, July 16, 2024
[RESERVED]
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.250.500.8 - MISSION

Current through Register Vol. 35, No. 13, July 16, 2024
To transform lives. Working with our partners, we design and
				  deliver innovative, high quality health and human services that improve the
				  security and promote independence for New Mexicans in their
				  communities.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.250.500.9 - QUALIFIED INDIVIDUALS 1 (QI1s) - CATEGORY 042

Current through Register Vol. 35, No. 13, July 16, 2024
Medical assistance division (MAD) pays the monthly medicare
				  Part B insurance premium for qualified individuals (QI1s) with income between
				  120 percent and 135 percent of the federal poverty level and who are not
				  otherwise eligible for another MAD category of eligibility. Eligible recipients
				  will be served on a first come, first served basis, contingent upon
				  availability of federal funds. Eligibility will be offered to individuals on a
				  yearly basis. After 1998, eligible recipients currently enrolled in the program
				  will get the first opportunity to continue to receive
				  benefits.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.250.500.10 - NEED DETERMINATION

Current through Register Vol. 35, No. 13, July 16, 2024
An applicant or a re-determining recipient for the medical
				  MAD eligibility Category 042 QI1s must apply for and take all necessary actions
				  to obtain any income to which he or she may be entitled.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.250.500.11 - RESOURCE STANDARDS

Current through Register Vol. 35, No. 13, July 16, 2024
There are no resource standards for this
				  category.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.250.500.13 - TRUSTS

Current through Register Vol. 35, No. 13, July 16, 2024
See 8.281.510 NMAC.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.250.500.14 - INCOME STANDARDS

Current through Register Vol. 35, No. 13, July 16, 2024
Income standards for this category are at least 120 percent
				  but less than 135 percent of the federal income poverty guidelines. The federal
				  income poverty guidelines are adjusted annually, effective April 1. See
				  8.200.520 NMAC and 8.215.500 for information on exclusions, disregards and
				  countable income. Verification of income must be documented in the case
				  file.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.250.500.15 - UNEARNED INCOME EXCLUSIONS

Current through Register Vol. 35, No. 13, July 16, 2024
All social security and railroad retirement beneficiaries
				  receive cost of living adjustments (COLAs) in January of each year. The ISD
				  caseworker must disregard the COLA from January through March when determining
				  or re-determining QI1s eligibility. For re-determinations made in January,
				  February and March and for new QI1 applications registered in January, February
				  or March, the ISD caseworker uses the December social security and railroad
				  retirement benefit amounts. For QI1 applications registered from April through
				  December, total gross income including the new COLA figures are used to
				  determine income and compared to the new April federal poverty levels. This
				  exclusion does not apply to other types of income.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.250.500.16 - DEEMED INCOME

Current through Register Vol. 35, No. 13, July 16, 2024
If an applicant or re-determining recipient is a minor who
				  lives with a parent(s), deemed income from the parent(s) must be considered. If
				  an applicant or re-determining recipient is married and lives with a spouse,
				  deemed income from the spouse must be considered. See 8.215.500 NMAC for
				  information on deemed income.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 600 - BENEFIT DESCRIPTION › Section 8.250.600.1 - ISSUING AGENCY

Current through Register Vol. 35, No. 13, July 16, 2024
New Mexico Health Care Authority.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 600 - BENEFIT DESCRIPTION › Section 8.250.600.2 - SCOPE

Current through Register Vol. 35, No. 13, July 16, 2024
The rule applies to the general public.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 600 - BENEFIT DESCRIPTION › Section 8.250.600.3 - STATUTORY AUTHORITY

Current through Register Vol. 35, No. 13, July 16, 2024
New Mexico Statutes Annotated, 1978, (Chapter 27, Articles 1
				  and 2) authorizes the state to administer the medicaid program. Section 4732 of
				  the 1997 Balanced Budget Act creates a separate group of eligible individuals,
				  to be known as qualified individuals 1 (QI1s), with income between one hundred
				  twenty percent and one hundred thirty-five percent of the federal poverty
				  level. The benefit is limited to the payment of the monthly medicare part B
				  insurance premium. Funding is available under one hundred percent federal block
				  grant money. Section 9-8-1 et seq. NMSA 1978 establishes the health care
				  authority (HCA) as a single, unified department to administer laws and exercise
				  functions relating to health care facility licensure and health care purchasing
				  and regulation.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 600 - BENEFIT DESCRIPTION › Section 8.250.600.4 - DURATION

Current through Register Vol. 35, No. 13, July 16, 2024
Permanent.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 600 - BENEFIT DESCRIPTION › Section 8.250.600.5 - EFFECTIVE DATE

Current through Register Vol. 35, No. 13, July 16, 2024
January 1, 2019, or upon a later approval date by the federal
				  centers for medicare and medicaid services (CMS), unless a later date is cited
				  at the end of the section.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 600 - BENEFIT DESCRIPTION › Section 8.250.600.6 - OBJECTIVE

Current through Register Vol. 35, No. 13, July 16, 2024
The objective of the qualified individuals 1 (QI1s)
				  eligibility is for New Mexico medicaid to provide the payment of the monthly
				  medicare part B insurance premium for individuals with income between one
				  hundred twenty percent and one hundred thirty-five percent of the federal
				  poverty level and who are not otherwise receiving medicaid under any other
				  category of eligibility. Individuals will be served on a first come, first
				  served basis, contingent upon availability of federal funds. Eligibility will
				  be offered to individuals on a yearly basis. After 1998, individuals currently
				  enrolled in the program will get the first opportunity to continue to receive
				  benefits under this program.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 600 - BENEFIT DESCRIPTION › Section 8.250.600.7 - DEFINITIONS: [RESERVED]

Current through Register Vol. 35, No. 13, July 16, 2024
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 600 - BENEFIT DESCRIPTION › Section 8.250.600.9 - BENEFIT DESCRIPTION

Current through Register Vol. 35, No. 13, July 16, 2024
Most individuals 65 or older receive free medicare part A.
				  Those who do not receive free part A can voluntarily enroll for hospital
				  insurance coverage and pay the monthly premium. Medicaid does not pay the
				  medicare part A monthly premium for this category of recipients. Voluntary
				  enrollees for premium/conditional medicare part A must enroll for supplementary
				  medical insurance, medicare part B, and pay that premium also. After an
				  application for QI benefits is approved, medicaid begins to pay the medicare
				  part B premium. Applicants/recipients eligible for QI1 coverage under another
				  medicaid category may not be eligible for QI1. QI1 eligibility is funded by
				  limited block grant funding beginning in 1998 and ending when the congressional
				  extension period expires. Since payment of the medicare part B premium is the
				  only benefit, no medicaid card is issued.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 600 - BENEFIT DESCRIPTION › Section 8.250.600.10 - BENEFIT DETERMINATION

Current through Register Vol. 35, No. 13, July 16, 2024
Application for QI1 is made on the assistance application
				  form. Applications are acted on and notice of action taken is sent to the
				  applicant within 45 days of the application.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 600 - BENEFIT DESCRIPTION › Section 8.250.600.11 - INITIAL BENEFITS

Current through Register Vol. 35, No. 13, July 16, 2024
Eligibility begins the month the case is approved. When an
				  eligibility determination is made, notice of the approval or denial is sent to
				  the applicant. If the application is denied, this notice includes the
				  recipient's right to request a hearing.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 600 - BENEFIT DESCRIPTION › Section 8.250.600.12 - ONGOING BENEFITS

Current through Register Vol. 35, No. 13, July 16, 2024
A redetermination of eligibility is made every 12
				  months.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 600 - BENEFIT DESCRIPTION › Section 8.250.600.13 - RETROACTIVE BENEFIT COVERAGE

Current through Register Vol. 35, No. 13, July 16, 2024
Retroactive medicaid coverage is provided in accordance with
				  8.200.400.14
				  NMAC.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 250 - MEDICAID ELIGIBILITY - QUALIFIED INDIVIDUALS WHOSE INCOME EXCEEDS QMB AND SLIMB (CATEGORY 045) › Part 600 - BENEFIT DESCRIPTION › Section 8.250.600.14 - CHANGES IN ELIGIBILITY

Current through Register Vol. 35, No. 13, July 16, 2024
A case is closed, with provision of advance notice, when the
				  recipient becomes ineligible. If a recipient dies, the case is closed effective
				  the following month.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 252 - MEDICAID ELIGIBILITY - BREAST AND CERVICAL CANCER PROGRAM (CATEGORY 052) › Part 400 - RECIPIENT POLICIES › Section 8.252.400.3 - STATUTORY AUTHORITY

Current through Register Vol. 35, No. 13, July 16, 2024
The New Mexico medicaid program is administered pursuant to
				  regulations promulgated by the federal department of health and human services
				  under Title XIX of the Social Security Act, as amended, and by the state health
				  care authority pursuant to state statute. See 27-2-12 et. seq. 1978 (Repl.
				  Pamp. 1991). Section 9-8-1 et seq. NMSA 1978 establishes the health care
				  authority (HCA) as a single, unified department to administer laws and exercise
				  functions relating to health care facility licensure and health care purchasing
				  and regulation. [8.252.400.3 NMAC - Rp
				  8.252.400.3 NMAC,
				  7/1/2024
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 252 - MEDICAID ELIGIBILITY - BREAST AND CERVICAL CANCER PROGRAM (CATEGORY 052) › Part 400 - RECIPIENT POLICIES › Section 8.252.400.5 - EFFECTIVE DATE

Current through Register Vol. 35, No. 13, July 16, 2024
July 1, 2024, unless a later date is cited at the end of a
				  section. [8.252.400.5 NMAC - Rp
				  8.252.400.5 NMAC,
				  7/1/2024
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 252 - MEDICAID ELIGIBILITY - BREAST AND CERVICAL CANCER PROGRAM (CATEGORY 052) › Part 400 - RECIPIENT POLICIES › Section 8.252.400.6 - OBJECTIVE

Current through Register Vol. 35, No. 13, July 16, 2024
The objective of these regulations is to provide eligibility
				  policy and procedures for the medicaid program.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 252 - MEDICAID ELIGIBILITY - BREAST AND CERVICAL CANCER PROGRAM (CATEGORY 052) › Part 400 - RECIPIENT POLICIES › Section 8.252.400.8 - MISSION

Current through Register Vol. 35, No. 13, July 16, 2024
To transform lives. Working with our partners, we design and
				  deliver innovative, high quality health and human services that improve the
				  security and promote independence for New Mexicans in their communities.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 252 - MEDICAID ELIGIBILITY - BREAST AND CERVICAL CANCER PROGRAM (CATEGORY 052) › Part 400 - RECIPIENT POLICIES › Section 8.252.400.9 - BREAST AND CERVICAL CANCER (BCC) -Category 052

Current through Register Vol. 35, No. 13, July 16, 2024
The HCA is the single state agency designated to administer
				  the medicaid program in New Mexico. The department of health (DOH) and the HCA
				  are charged with developing and implementing a program for uninsured women
				  under the age of 65 years, who have met screening criteria as set forth in the
				  centers for disease control and prevention's (CDC) national breast and cervical
				  cancer early detection program (NBCCEDP). The DOH is responsible for verifying
				  that women referred for treatment have met screening requirements that include
				  an income test of two hundred and fifty percent of the federal poverty
				  guidelines, and diagnostic testing by a contracted CDC provider resulting in a
				  diagnosis of breast or cervical cancer including pre-cancerous conditions.
				  Women who have met CDC screening criteria and identified as needing treatment
				  for a diagnosis of breast or cervical cancer, including pre-cancerous
				  conditions will be referred for treatment that includes the completion of a
				  medicaid application for the BCC program. The Breast and Cervical Cancer
				  Prevention and Treatment Act allows states to extend presumptive eligibility to
				  applicants in order to ensure that needed treatment begins as early as
				  possible.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 252 - MEDICAID ELIGIBILITY - BREAST AND CERVICAL CANCER PROGRAM (CATEGORY 052) › Part 400 - RECIPIENT POLICIES › Section 8.252.400.10 - BASIS FOR DEFINING THE GROUP

Current through Register Vol. 35, No. 13, July 16, 2024
Women who have been determined as having met CDC program
				  screening requirements will be identified and referred for treatment.
				  Public Law
				  106-354 does not provide eligibility for men
				  diagnosed with cancer.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 252 - MEDICAID ELIGIBILITY - BREAST AND CERVICAL CANCER PROGRAM (CATEGORY 052) › Part 400 - RECIPIENT POLICIES › Section 8.252.400.11 - GENERAL RECIPIENT REQUIREMENTS

Current through Register Vol. 35, No. 13, July 16, 2024
Eligibility for the breast and cervical cancer program is
				  always prospective. Women must meet, or expect to meet, all medicaid and CDC
				  financial and non-financial eligibility criteria in the month for which
				  determination of eligibility is made.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 252 - MEDICAID ELIGIBILITY - BREAST AND CERVICAL CANCER PROGRAM (CATEGORY 052) › Part 400 - RECIPIENT POLICIES › Section 8.252.400.12 - ENUMERATION

Current through Register Vol. 35, No. 13, July 16, 2024
A woman must furnish her social security account number.
				  Medicaid eligibility is denied or terminated for a woman who fails to furnish
				  her social security number. If a woman does not have a valid social security
				  number, she must apply for one as a condition of medicaid eligibility.
				  Presentation of the application for a social security number, or proof that an
				  application has been made at a social security administration office, meets
				  this requirement. A woman must provide her social security account number upon
				  receipt of the number from SSA but no later than her next
				  recertification.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 252 - MEDICAID ELIGIBILITY - BREAST AND CERVICAL CANCER PROGRAM (CATEGORY 052) › Part 400 - RECIPIENT POLICIES › Section 8.252.400.13 - CITIZENSHIP

Current through Register Vol. 35, No. 13, July 16, 2024
Refer to
				  8.200.410.11 NMAC.
Women who do not meet citizenship eligibility criteria may be
				  eligible to receive coverage for emergency services under the emergency medical
				  services for undocumented noncitizens (EMSNC) program.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 252 - MEDICAID ELIGIBILITY - BREAST AND CERVICAL CANCER PROGRAM (CATEGORY 052) › Part 400 - RECIPIENT POLICIES › Section 8.252.400.14 - RESIDENCE

Current through Register Vol. 35, No. 13, July 16, 2024
To be eligible for medicaid, a woman must be physically
				  present in New Mexico on the date of application or final determination of
				  eligibility and must have intent to remain in the state.
A. Establishing residence: Residence in New
				Mexico is established by living in the state and carrying out the types of
				activities normally indicating residency, such as occupying a home, enrolling
				child (ren) in school, getting a state driver's license, or renting a post
				office box. A woman who is homeless is considered to have met the residence
				requirements if she intends to remain in the state.
B. Recipients receiving benefits
				out-of-state: A women who receives medical assistance in another state is
				considered a resident of that state until the income support division (ISD)
				staff receives verification from the other state agency indicating that it has
				been notified by the woman of the abandonment of residence in that
				state.
C. Abandonment: Residence is
				not abandoned by temporary absences. Temporary absences occur when a woman
				leaves New Mexico for specific purposes with time-limited goals. Residence is
				considered abandoned when any of the following occurs:
(1) a woman leaves New Mexico and indicates
				that she intends to establish residence in another state;
(2) a woman leaves New Mexico for no specific
				purpose with no clear intention of returning;
(3) a woman leaves New Mexico and applies for
				financial, food or medical assistance in another state.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 252 - MEDICAID ELIGIBILITY - BREAST AND CERVICAL CANCER PROGRAM (CATEGORY 052) › Part 400 - RECIPIENT POLICIES › Section 8.252.400.15 - NON-CONCURRENT RECEIPT OF ASSISTANCE

Current through Register Vol. 35, No. 13, July 16, 2024
A woman may not be receiving assistance in another medicaid
				  category.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 252 - MEDICAID ELIGIBILITY - BREAST AND CERVICAL CANCER PROGRAM (CATEGORY 052) › Part 400 - RECIPIENT POLICIES › Section 8.252.400.16 - SPECIAL RECIPIENT REQUIREMENTS

Current through Register Vol. 35, No. 13, July 16, 2024
A woman must have been screened and diagnosed with breast or
				  cervical cancer or a pre-cancerous condition by a provider of the centers for
				  disease control and prevention's (CDC) national breast and cervical cancer
				  early detection program and be in need of treatment. Women identified as in
				  need of treatment, will be given an application that includes the DOH's CDC
				  contracted provider referral for treatment form. The DOH is responsible for
				  verifying the referring physician is a contracted CDC provider.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 252 - MEDICAID ELIGIBILITY - BREAST AND CERVICAL CANCER PROGRAM (CATEGORY 052) › Part 400 - RECIPIENT POLICIES › Section 8.252.400.17 - AGE

Current through Register Vol. 35, No. 13, July 16, 2024
To be eligible for this category, a woman must be under 65
				  years of age.
Medicaid eligibility ends the last day of the month a woman
				  turns 65 years of age.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 252 - MEDICAID ELIGIBILITY - BREAST AND CERVICAL CANCER PROGRAM (CATEGORY 052) › Part 400 - RECIPIENT POLICIES › Section 8.252.400.18 - THIRD PARTY LIABILITY

Current through Register Vol. 35, No. 13, July 16, 2024
A woman must be uninsured.
A. A woman is considered uninsured when her
				health insurance policy has lifetime limits and she has exhausted those limits
				or she is denied coverage due to a preexisting condition.
B. Women with high deductibles or limits on
				coverage, such as the limit of doctor visits or drug coverage that have not
				been exhausted, are considered insured.
C. There is no penalty for dropping
				insurance.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 252 - MEDICAID ELIGIBILITY - BREAST AND CERVICAL CANCER PROGRAM (CATEGORY 052) › Part 400 - RECIPIENT POLICIES › Section 8.252.400.19 - PRESUMPTIVE ELIGIBILITY

Current through Register Vol. 35, No. 13, July 16, 2024
A woman may be eligible to receive medicaid services from the
				  date the presumptive eligibility determination is made until the end of the
				  month following the month in which the determination was made, for a period of
				  up to 60 days. The purpose of the presumptive eligibility is to allow medicaid
				  payment for health care services furnished to a woman while her application for
				  medicaid is being processed. Only one presumptive eligibility period is allowed
				  per 12-month period. The period of presumptive eligibility begins when an
				  approved presumptive eligibility provider establishes eligibility. Presumptive
				  eligibility criteria are a simplified version of Category 052 eligibility
				  requirements.
A. Processing
				presumptive eligibility information: The medical assistance division (MAD)
				authorizes certain providers to make presumptive eligibility determinations.
				The provider must notify MAD through its claims processing contractor of the
				determination within 24 hours of the determination of presumptive
				eligibility.
B. Provider
				responsibility: The presumptive eligibility provider must process both
				presumptive eligibility as well as an application for medical assistance for
				the woman.
C. Provider eligibility:
				Entities who may participate must be a CDC Title XV grantees are those entities
				receiving funds under a cooperative agreement with CDC to support activities
				related to the national breast and cervical cancer detection program.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 252 - MEDICAID ELIGIBILITY - BREAST AND CERVICAL CANCER PROGRAM (CATEGORY 052) › Part 400 - RECIPIENT POLICIES › Section 8.252.400.20 - RECIPIENT RIGHTS AND RESPONSIBILITIES

Current through Register Vol. 35, No. 13, July 16, 2024
A woman or her representative is responsible for establishing
				  her eligibility for medicaid. As part of this responsibility, the woman must
				  provide required information and documents, or take the actions necessary to
				  establish eligibility. Failure to do so must result in a decision that
				  eligibility does not exist. A woman must also grant the HCA permission to
				  contact other persons, agencies or sources of information necessary to
				  establish eligibility. See 8.200.430 NMAC,
Recipient Rights and
				  Responsibilities
for specific information.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 252 - MEDICAID ELIGIBILITY - BREAST AND CERVICAL CANCER PROGRAM (CATEGORY 052) › Part 400 - RECIPIENT POLICIES › Section 8.252.400.21 - REPORTING REQUIREMENTS

Current through Register Vol. 35, No. 13, July 16, 2024
A woman or any other responsible party must:
A. report any changes in circumstances, which
				may affect the woman's eligibility within 10 days of the date of the change to
				the county ISD office;
B. the ISD
				worker must evaluate the effect of the change and take any required action as
				soon as possible; however, the action must take effect no later than the end of
				the month following the month in which the change took place.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 252 - MEDICAID ELIGIBILITY - BREAST AND CERVICAL CANCER PROGRAM (CATEGORY 052) › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.252.500.1 - ISSUING AGENCY

Current through Register Vol. 35, No. 13, July 16, 2024
New Mexico Health Care Authority.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 252 - MEDICAID ELIGIBILITY - BREAST AND CERVICAL CANCER PROGRAM (CATEGORY 052) › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.252.500.3 - STATUTORY AUTHORITY

Current through Register Vol. 35, No. 13, July 16, 2024
The New Mexico medicaid program and other health care
				  programs are administered pursuant to regulations promulgated by the federal
				  department of health and human services under Title XIX of the Social Security
				  Act as amended or by state statute. See NMSA 1978, Section 27-1-12 et seq.
				  Section 9-8-1 et seq. NMSA 1978 establishes the health care authority (HCA) as
				  a single, unified department to administer laws and exercise functions relating
				  to health care facility licensure and health care purchasing and regulation.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 252 - MEDICAID ELIGIBILITY - BREAST AND CERVICAL CANCER PROGRAM (CATEGORY 052) › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.252.500.5 - EFFECTIVE DATE

Current through Register Vol. 35, No. 13, July 16, 2024
January 1, 2014, unless a later date is cited at the end of a
				  section.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 252 - MEDICAID ELIGIBILITY - BREAST AND CERVICAL CANCER PROGRAM (CATEGORY 052) › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.252.500.6 - OBJECTIVE

Current through Register Vol. 35, No. 13, July 16, 2024
The objective of this rule is to provide specific
				  instructions when determining eligibility for the medicaid program and other
				  health care programs. Generally, applicable eligibility rules are detailed in
				  the medical assistance division (MAD) eligibility policy manual, specifically
				  8.200.400 NMAC,
General Medicaid Eligibility
. Processes for
				  establishing and maintaining MAD eligibility are detailed in the income support
				  division (ISD) general provisions 8.100 NMAC,
General Provisions for
				  Public Assistance Programs
.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 252 - MEDICAID ELIGIBILITY - BREAST AND CERVICAL CANCER PROGRAM (CATEGORY 052) › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.252.500.8 - MISSION

Current through Register Vol. 35, No. 13, July 16, 2024
To reduce the impact of poverty on people living in New
				  Mexico by providing support services that help families break the cycle of
				  dependency on public assistance.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 252 - MEDICAID ELIGIBILITY - BREAST AND CERVICAL CANCER PROGRAM (CATEGORY 052) › Part 600 - BENEFIT DESCRIPTION › Section 8.252.600.3 - STATUTORY AUTHORITY

Current through Register Vol. 35, No. 13, July 16, 2024
The New Mexico medicaid program and other health care
				  programs are administered pursuant to regulations promulgated by the federal
				  department of health and human services under Title XIX of the Social Security
				  Act as amended or by state statute. See Section 27-1-12
et
				  seq
., NMSA 1978. Section 9-8-1 et seq. NMSA 1978 establishes the
				  health care authority (HCA) as a single, unified department to administer laws
				  and exercise functions relating to health care facility licensure and health
				  care purchasing and regulation.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 252 - MEDICAID ELIGIBILITY - BREAST AND CERVICAL CANCER PROGRAM (CATEGORY 052) › Part 600 - BENEFIT DESCRIPTION › Section 8.252.600.5 - EFFECTIVE DATE

Current through Register Vol. 35, No. 13, July 16, 2024
January 1, 2019, or upon a later approval date by the federal
				  centers for medicare and medicaid services (CMS), unless a later date is cited
				  at the end of the section.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 252 - MEDICAID ELIGIBILITY - BREAST AND CERVICAL CANCER PROGRAM (CATEGORY 052) › Part 600 - BENEFIT DESCRIPTION › Section 8.252.600.6 - OBJECTIVE

Current through Register Vol. 35, No. 13, July 16, 2024
The objective of this rule is to provide specific
				  instructions when determining eligibility for the medicaid program and other
				  health care programs. Generally, applicable eligibility rules are detailed in
				  the medical assistance division (MAD) eligibility policy manual, specifically
				  8.200.400 NMAC,
General Medicaid Eligibility
. Processes for
				  establishing and maintaining MAD eligibility are detailed in the income support
				  division (ISD) general provisions 8.100 NMAC,
General Provisions for
				  Public Assistance Programs
.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 252 - MEDICAID ELIGIBILITY - BREAST AND CERVICAL CANCER PROGRAM (CATEGORY 052) › Part 600 - BENEFIT DESCRIPTION › Section 8.252.600.9 - GENERAL BENEFIT DESCRIPTION

Current through Register Vol. 35, No. 13, July 16, 2024
A woman who is determined eligible for medicaid coverage
				  under the breast and cervical cancer program (Category 052) can receive the
				  full range of medicaid covered.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 252 - MEDICAID ELIGIBILITY - BREAST AND CERVICAL CANCER PROGRAM (CATEGORY 052) › Part 600 - BENEFIT DESCRIPTION › Section 8.252.600.10 - BENEFIT DETERMINATION

Current through Register Vol. 35, No. 13, July 16, 2024
Completed applications must be acted upon and notice of
				  approval, denial, or delay sent out within 45 days of the date of application.
				  The applicant will have time limits explained, and be informed of the date by
				  which the application should be processed.