reglab/statecodes huggingface dataset:
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 291 - MEDICAID ELIGIBILITY - AFFORDABLE CARE › Part 420 - RECIPIENT RIGHTS AND RESPONSIBILITIES › Section 8.291.420.12 - ASSIGNMENT OF MEDICAL SUPPORT RIGHTS

Current through Register Vol. 35, No. 13, July 16, 2024
Refer to
				  8.200.430.13
				  NMAC.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 291 - MEDICAID ELIGIBILITY - AFFORDABLE CARE › Part 420 - RECIPIENT RIGHTS AND RESPONSIBILITIES › Section 8.291.420.13 - ELIGIBLE RECIPIENT RESPONSIBILITY TO COOPERATE WITH ASSIGNMENT OF SUPPORT RIGHTS

Current through Register Vol. 35, No. 13, July 16, 2024
Refer to
				  8.200.430.14
				  NMAC.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 291 - MEDICAID ELIGIBILITY - AFFORDABLE CARE › Part 420 - RECIPIENT RIGHTS AND RESPONSIBILITIES › Section 8.291.420.14 - ELIGIBLE RECIPIENT RESPONSIBILITY TO GIVE PROVIDER PROPER IDENTIFICATION AND NOTICE OF ELIGIBILITY CHANGES

Current through Register Vol. 35, No. 13, July 16, 2024
Refer to
				  8.200.430.15
				  NMAC.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 291 - MEDICAID ELIGIBILITY - AFFORDABLE CARE › Part 420 - RECIPIENT RIGHTS AND RESPONSIBILITIES › Section 8.291.420.15 - ELIGIBLE RECIPIENT FINANCIAL RESPONSIBILITIES

Current through Register Vol. 35, No. 13, July 16, 2024
Refer to
				  8.200.430.16
				  NMAC.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 291 - MEDICAID ELIGIBILITY - AFFORDABLE CARE › Part 420 - RECIPIENT RIGHTS AND RESPONSIBILITIES › Section 8.291.420.16 - RESTITUTION

Current through Register Vol. 35, No. 13, July 16, 2024
Refer to
				  8.200.430.17
				  NMAC.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 291 - MEDICAID ELIGIBILITY - AFFORDABLE CARE › Part 420 - RECIPIENT RIGHTS AND RESPONSIBILITIES › Section 8.291.420.17 - THIRD PARTY LIABILITY

Current through Register Vol. 35, No. 13, July 16, 2024
Refer to
				  8.200.420.12
				  NMAC.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 291 - MEDICAID ELIGIBILITY - AFFORDABLE CARE › Part 420 - RECIPIENT RIGHTS AND RESPONSIBILITIES › Section 8.291.420.18 - MAD ESTATE RECOVERY

Current through Register Vol. 35, No. 13, July 16, 2024
Refer to
				  8.200.420.13
				  NMAC.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 291 - MEDICAID ELIGIBILITY - AFFORDABLE CARE › Part 430 - FINANCIAL RESPONSIBILITY REQUIREMENTS › Section 8.291.430.3 - 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
				  NMSA et seq.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 291 - MEDICAID ELIGIBILITY - AFFORDABLE CARE › Part 430 - FINANCIAL RESPONSIBILITY REQUIREMENTS › Section 8.291.430.5 - EFFECTIVE DATE

Current through Register Vol. 35, No. 13, July 16, 2024
November 16, 2015, unless a later date is cited at the end of
				  a section.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 291 - MEDICAID ELIGIBILITY - AFFORDABLE CARE › Part 430 - FINANCIAL RESPONSIBILITY REQUIREMENTS › Section 8.291.430.6 - 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. Processes for establishing and maintaining a medical
				  assistance programs (MAP) category of the affordable care eligibility are
				  detailed in the 8.291.400 through 8.291.430 NMAC.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 291 - MEDICAID ELIGIBILITY - AFFORDABLE CARE › Part 430 - FINANCIAL RESPONSIBILITY REQUIREMENTS › Section 8.291.430.8 - MISSION STATEMENT

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 291 - MEDICAID ELIGIBILITY - AFFORDABLE CARE › Part 430 - FINANCIAL RESPONSIBILITY REQUIREMENTS › Section 8.291.430.9 - GENERAL NEED DETERMINATION

Current through Register Vol. 35, No. 13, July 16, 2024
To be eligible for a MAP category of eligibility, an
				  applicant or a recipient must meet specific income standards.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 291 - MEDICAID ELIGIBILITY - AFFORDABLE CARE › Part 430 - FINANCIAL RESPONSIBILITY REQUIREMENTS › Section 8.291.430.10 - FEDERAL POVERTY LEVEL (FPL)

Current through Register Vol. 35, No. 13, July 16, 2024
This part contains the monthly federal poverty level table
				  for use in determining monthly income standards for MAP categories of
				  eligibility outlined in
				  8.291.400.10 NMAC:
HOUSEHOLD SIZE
100%
133%
138%
190%
240%
250%
300%
1
$1,255
$1,670
$1,732
$2,385
$3,012
$3,138
$3,765
2
$1,704
$2,266
$2,351
$3,237
$4,088
$4,259
$5,110
3
$2,152
$2,862
$2,970
$4,089
$5,164
$5,380
$6,455
4
$2,600
$3,458
$3,588
$4,940
$6,240
$6,500
$7,800
5
$3,049
$4,055
$4,207
$5,792
$7,316
$7,621
$9,145
6
$3,497
$4,651
$4,826
$6,644
$8,392
$8,742
$10,490
7
$3,945
$5,247
$5,445
$7,496
$9,468
$9,863
$11,835
8
$4,394
$5,844
$6,063
$8,348
$10,544
$10,984
$13,180
+1
$449
$597
$618
$852
$1,076
$1,121
$1,345
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 291 - MEDICAID ELIGIBILITY - AFFORDABLE CARE › Part 430 - FINANCIAL RESPONSIBILITY REQUIREMENTS › Section 8.291.430.11 - INCOME STANDARD FOR PREGNANT WOMEN AND PARENT CARETAKER ELIGIBILITY

Current through Register Vol. 35, No. 13, July 16, 2024
This part contains the MAP category of pregnant women and
				  parent caretaker eligibility's fixed monthly standard for an applicant or
				  recipient:
HOUSEHOLD SIZE
MONTHLY INCOME LIMIT
1
$451
2
$608
3
$765
4
$923
5
$1,080
6
$1,238
7
$1,395
8
$1,553
+1
$158
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 291 - MEDICAID ELIGIBILITY - AFFORDABLE CARE › Part 430 - FINANCIAL RESPONSIBILITY REQUIREMENTS › Section 8.291.430.12 - INCOME DISREGARD

Current through Register Vol. 35, No. 13, July 16, 2024
A disregard of five percent of 100 percent of the current
				  FPL, according to the applicant's or recipient's budget group size, will be
				  given according to the Affordable Care Act (ACA) related category of
				  eligibility. This income disregard will be subtracted from the countable
				  income.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 291 - MEDICAID ELIGIBILITY - AFFORDABLE CARE › Part 430 - FINANCIAL RESPONSIBILITY REQUIREMENTS › Section 8.291.430.13 - LIVING ARRANGEMENT

Current through Register Vol. 35, No. 13, July 16, 2024
All individuals listed on the MAP application are evaluated
				  according to their living arrangement to determine if they can be included in
				  an assistance group or budget group.
A. Extended living in the home: An individual
				physically absent from the home is a member of the assistance unit or budget
				group. Extended living in the home includes:
(1) attending college or boarding
				school;
(2) receiving treatment in
				a title XIX MAD enrolled facility (including institutionalized when meeting a
				nursing facility (NF) level of care (LOC) and intermediate care facilities for
				the mentally retarded (ICF-MRs);
(3) emergency absences: an applicant or
				recipient absent from the home due to an emergency, who is expected to return
				to the household, continues to be a member of the household;
(4) foster care placements: a minor applicant
				or minor recipient removed from the home by a child protective services agency
				(tribal, bureau of Indian affairs, or children, youth and families department)
				will be considered to be living in the home until the adjudicatory hearing; if
				the adjudicatory hearing results in custody being granted to some other entity,
				the minor applicant or minor recipient will be removed from the assistance unit
				and budget group;
(5) inmate of a
				public institution:
(a) see
				8.200.410.15
				NMAC for the definition of a public institution and an inmate of a public
				institution;
(b) an inmate of a
				public institution is included in the household with other mandatory household
				members if he or she is expected to file a tax return or be claimed as a tax
				dependent; see
				8.291.430.14
				NMAC;
(c) an inmate of a public
				institution is not included in the household if he or she neither files a tax
				return nor is claimed as a tax dependent which requires that mandatory
				household members be living together; see
				8.291.430.14
				NMAC.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 291 - MEDICAID ELIGIBILITY - AFFORDABLE CARE › Part 430 - FINANCIAL RESPONSIBILITY REQUIREMENTS › Section 8.291.430.14 - BASIS FOR DEFINING THE ASSISTANCE UNIT AND BUDGET GROUPS

Current through Register Vol. 35, No. 13, July 16, 2024
At the time of a MAP application, an applicant or recipient
				  and ISD shall identify everyone who is to be considered for inclusion in an
				  assistance unit and budget group. The composition of the assistance unit and
				  budget group is based on the following factors:
A. Assistance group: the assistance unit
				includes an applicant or recipient who applies and who is determined to meet a
				MAP category of eligibility found in
				8.291.430.10
				NMAC.
B. Budget group: the budget
				group consists of the following types and will be established on an individual
				basis:
(1) tax filers and dependents:
				households that submit a MAP application where an applicant or a recipient
				intends to file for federal taxes or will be claimed as a dependent on federal
				income taxes for the current year:
(a) the
				budget group will consist of applicants or recipients who are listed on the MAP
				application as the taxpayer and tax dependents;
(b) if there are multiple taxpayers listed on
				a single MAP application, the budget group(s) will be established based on who
				the taxpayer intends to claim as a dependent (including the taxpayer); only the
				taxpayer and his or her child and tax dependent (dependent) listed on the MAP
				application will be considered as part of the budget group;
(c) in the case of an applicant or recipient
				married couple living together, each spouse will be included in the household
				of the other spouse, regardless of whether they expect to file a joint tax
				return, a separate tax return or whether one spouse expects to be claimed as a
				tax dependent by the other spouse;
(d) exceptions to tax filer rules: the
				following applicants or recipients will be treated as non-filers:
(i) an applicant or a recipient other than a
				spouse or a biological, adopted, or step child who expect to be claimed as a
				tax dependent by another taxpayer outside of the household;
(ii) an applicant or a recipient under 19 who
				expect to be claimed by one parent as a tax dependent and are living with both
				parents but whose parents do not expect to file a joint tax return;
				and
(iii) an applicant or a
				recipient under 19 who expect to be claimed as a tax dependent by a
				non-custodial parent.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 291 - MEDICAID ELIGIBILITY - AFFORDABLE CARE › Part 430 - FINANCIAL RESPONSIBILITY REQUIREMENTS › Section 8.291.430.15 - INCOME STANDARDS

Current through Register Vol. 35, No. 13, July 16, 2024
Verification of income, both earned and unearned, is
				  mandatory for all MAP categories of ACA related eligibility. Verification
				  methods can be found at 8.291.410 NMAC.
A. All income will be calculated as defined
				by Section 36B of the Federal Tax Code to produce a MAGI. This amount is
				compared to the FPL for the appropriate MAP category of eligibility and
				household size.
B. MAGI is
				calculated using the methodologies defined in Section 36B(d)(2)(B) of the
				Federal Tax Code, with the following exceptions:
(1) an amount received as a lump sum is
				counted as income only in the month received except for qualified lottery and
				gambling winnings per Subsection D of 8.291.430.15 NMAC;
(2) scholarships, awards, or fellowship
				grants used for education purposes and not for living expenses are excluded
				from income;
(3) the following
				American Indian or Alaska native exceptions are excluded from income:
(a) distributions from Alaska native
				corporations and settlement trusts;
(b) distributions from any property held in
				trust, subject to federal restrictions, located within the most recent
				boundaries of a prior federal reservation, or otherwise under the supervision
				of the secretary of the interior;
(c) distributions and payments from rents,
				leases, rights of way, royalties, usage rights, or natural resource extraction
				and harvest from;
(i) rights of ownership or
				possession in any lands described in Subsection B of 8.291.430.15 NMAC;
				or
(ii) federally protected rights
				regarding off-reservation hunting, fishing, gathering, or usage of natural
				resources;
(d)
				distributions resulting from real property ownership interests related to
				natural resources and improvements;
(i)
				located on or near a reservation or within the most recent boundaries of a
				prior federal reservation; or
(ii)
				resulting from the exercise of federally-protected rights relating to such real
				property ownership interests.
(e) payments resulting from ownership
				interests in or usage rights to items that have unique religious, spiritual,
				traditional, or cultural significance or rights that support subsistence or a
				traditional lifestyle according to applicable tribal law or custom;
				and
(f) student financial
				assistance provided under the bureau of Indian affairs education
				programs.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 291 - MEDICAID ELIGIBILITY - AFFORDABLE CARE › Part 430 - FINANCIAL RESPONSIBILITY REQUIREMENTS › Section 8.291.430.16 - RESOURCE STANDARDS

Current through Register Vol. 35, No. 13, July 16, 2024
Resources as defined in 8.100.130 NMAC are not a factor of
				  eligibility for a MAP category of ACA eligibility.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 292 - MEDICAID ELIGIBILITY - PARENT CARETAKER › Part 400 - RECIPIENT REQUIREMENTS › Section 8.292.400.3 - 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 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 292 - MEDICAID ELIGIBILITY - PARENT CARETAKER › Part 400 - RECIPIENT REQUIREMENTS › Section 8.292.400.5 - 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 292 - MEDICAID ELIGIBILITY - PARENT CARETAKER › Part 400 - RECIPIENT REQUIREMENTS › Section 8.292.400.6 - OBJECTIVE

Current through Register Vol. 35, No. 13, July 16, 2024
The objective of this rule is to provide eligibility
				  guidelines when determining eligibility for the medical assistance division
				  (MAD) medicaid program and other health care programs it administers. Processes
				  for establishing and maintaining this category of eligibility are found in the
				  affordable care general provision chapter located at 8.291.400 NMAC through
				  8.291.430 NMAC.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 292 - MEDICAID ELIGIBILITY - PARENT CARETAKER › Part 400 - RECIPIENT REQUIREMENTS › Section 8.292.400.8 - 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 292 - MEDICAID ELIGIBILITY - PARENT CARETAKER › Part 400 - RECIPIENT REQUIREMENTS › Section 8.292.400.9 - WHO CAN BE A RECIPIENT

Current through Register Vol. 35, No. 13, July 16, 2024
To be eligible, an individual must meet specific eligibility
				  requirements:
A. In accordance with 42
				Code of Federal Regulations (CFR) 435.4 an individual must be a parent or
				caretaker relative defined as a relative of a dependent child by blood,
				adoption, or marriage with whom the child is living, who assumes primary
				responsibility for the child's care (as may, but is not required to, be
				indicated by claiming the child as a tax dependent for federal income tax
				purposes), and who is within the fifth degree of relationship per Subsection C
				of
				8.291.410.12
				NMAC.
B. In accordance with
				42 CFR
				435.4 a dependent child is defined as one who
				meets both of the following criteria:
(1) is
				under the age of 18, or;
(2) is age
				18 and a full-time student in secondary school (or equivalent vocational or
				technical training), if before attaining age 19 the child may reasonably be
				expected to complete such school or training.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 292 - MEDICAID ELIGIBILITY - PARENT CARETAKER › Part 400 - RECIPIENT REQUIREMENTS › Section 8.292.400.10 - PARENT CARETAKER ASSISTANCE UNIT AND BUDGET GROUP

Current through Register Vol. 35, No. 13, July 16, 2024
To be considered in a parent caretaker assistance unit, an
				  individual must apply and be determined eligible. Individuals living with the
				  parent caretaker who meet criteria in 8.291.430 NMAC are included in the budget
				  group.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 292 - MEDICAID ELIGIBILITY - PARENT CARETAKER › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.292.500.3 - 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 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 292 - MEDICAID ELIGIBILITY - PARENT CARETAKER › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.292.500.5 - 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 292 - MEDICAID ELIGIBILITY - PARENT CARETAKER › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.292.500.6 - OBJECTIVE

Current through Register Vol. 35, No. 13, July 16, 2024
The objective of this rule is to provide eligibility
				  guidelines when determining eligibility for the medical assistance division
				  (MAD) medicaid program and other health care programs it administers. Processes
				  for establishing and maintaining this category of eligibility are found in the
				  affordable care general provision chapter located at 8.291.400 NMAC through
				  8.291.430 NMAC.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 292 - MEDICAID ELIGIBILITY - PARENT CARETAKER › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.292.500.7 - DEFINITIONS

Current through Register Vol. 35, No. 13, July 16, 2024
Refer to
				  8.291.400.7
				  NMAC.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 292 - MEDICAID ELIGIBILITY - PARENT CARETAKER › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.292.500.8 - 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 292 - MEDICAID ELIGIBILITY - PARENT CARETAKER › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.292.500.10 - INCOME STANDARD

Current through Register Vol. 35, No. 13, July 16, 2024
A.
				Financial eligibility: An individual's financial eligibility is based on the
				rules in this chapter and 8.291.430.11 NMAC.
B. Income test: In order to become eligible
				for parent caretaker medicaid, the total countable income of the budget group
				must be less than the income standard for parent caretaker eligibility at
				8.291.430NMAC.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 292 - MEDICAID ELIGIBILITY - PARENT CARETAKER › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.292.500.11 - AVAILABLE INCOME

Current through Register Vol. 35, No. 13, July 16, 2024
Determination of eligibility for the assistance unit is made
				  by considering income that is available to the assistance unit and budget
				  group. The amount of countable income is determined pursuant to 8.291.430
				  NMAC.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 292 - MEDICAID ELIGIBILITY - PARENT CARETAKER › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.292.500.12 - INCOME ELIGIBILITY

Current through Register Vol. 35, No. 13, July 16, 2024
Income methodology is based on modified adjusted gross income
				  (MAGI) in accordance with 42 Code of Federal Regulations (CFR) 435.603. Per
				  42 CFR
				  435.603(h)(2) HSD bases
				  financial eligibility on current monthly household income and family size.
				  Current monthly household income is defined as a 30-day period. If an amount of
				  income is received less frequently than monthly, that amount is converted by
				  dividing the total income by the number of months the income is intended to
				  cover.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 292 - MEDICAID ELIGIBILITY - PARENT CARETAKER › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.292.500.13 - DISREGARDS

Current through Register Vol. 35, No. 13, July 16, 2024
Once a MAGI is calculated, no disregard will be given unless
				  the individual is in receipt of medicare or has reached the age of 65, in which
				  case the household will receive an income disregard in accordance with
				  8.291.430 NMAC.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 292 - MEDICAID ELIGIBILITY - PARENT CARETAKER › Part 600 - BENEFIT DESCRIPTION › Section 8.292.600.3 - 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 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 292 - MEDICAID ELIGIBILITY - PARENT CARETAKER › Part 600 - BENEFIT DESCRIPTION › Section 8.292.600.5 - 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 292 - MEDICAID ELIGIBILITY - PARENT CARETAKER › Part 600 - BENEFIT DESCRIPTION › Section 8.292.600.6 - OBJECTIVE

Current through Register Vol. 35, No. 13, July 16, 2024
The objective of this rule is to provide eligibility
				  guidelines when determining eligibility for the medical assistance division
				  (MAD) medicaid program and other health care programs it administers. Processes
				  for establishing and maintaining this category of eligibility are found in the
				  affordable care general provision chapter located at 8.291.400 NMAC through
				  8.291.430 NMAC.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 292 - MEDICAID ELIGIBILITY - PARENT CARETAKER › Part 600 - BENEFIT DESCRIPTION › Section 8.292.600.9 - BENEFIT DESCRIPTION

Current through Register Vol. 35, No. 13, July 16, 2024
This medicaid category provides the full range of
				  medicaid-covered services for individuals considered a parent
				  caretaker.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 292 - MEDICAID ELIGIBILITY - PARENT CARETAKER › Part 600 - BENEFIT DESCRIPTION › Section 8.292.600.10 - BENEFIT DETERMINATION

Current through Register Vol. 35, No. 13, July 16, 2024
The HSD income support division (ISD) determines initial and
				  ongoing eligibility. Refer to affordable care general provision chapters
				  located at 8.291.400 through 8.291.430 NMAC for eligibility requirements.
				  Retroactive medicaid coverage is provided in accordance with
				  8.200.400.14
				  NMAC.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 292 - MEDICAID ELIGIBILITY - PARENT CARETAKER › Part 600 - BENEFIT DESCRIPTION › Section 8.292.600.11 - PERIODIC REDETERMINATIONS OF ELIGIBILITY

Current through Register Vol. 35, No. 13, July 16, 2024
A. A redetermination of eligibility is
				conducted in accordance with 8.291.410 NMAC.
B. All changes that may affect eligibility
				must be reported within 10 calendar days of the date of the change as detailed
				in 8.291.400 NMAC.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 293 - MEDICAID ELIGIBILITY - PREGNANT WOMEN › Part 400 - RECIPIENT REQUIREMENTS › Section 8.293.400.3 - 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 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 293 - MEDICAID ELIGIBILITY - PREGNANT WOMEN › Part 400 - RECIPIENT REQUIREMENTS › Section 8.293.400.5 - 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 293 - MEDICAID ELIGIBILITY - PREGNANT WOMEN › Part 400 - RECIPIENT REQUIREMENTS › Section 8.293.400.6 - OBJECTIVE

Current through Register Vol. 35, No. 13, July 16, 2024
The objective of this rule is to provide eligibility
				  guidelines when determining eligibility for the medical assistance division
				  (MAD) medicaid program and other health care programs it administers. Processes
				  for establishing and maintaining this category of eligibility are found in the
				  affordable care general provision chapter located at 8.291.400 NMAC through
				  8.291.430 NMAC.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 293 - MEDICAID ELIGIBILITY - PREGNANT WOMEN › Part 400 - RECIPIENT REQUIREMENTS › Section 8.293.400.9 - WHO CAN BE A RECIPIENT

Current through Register Vol. 35, No. 13, July 16, 2024
To be eligible, a woman must meet the following eligibility
				  requirements:
A. Per
				42 CFR
				435.956(e) HSD accepts
				self-attestation of pregnancy unless HSD has reason to believe the information
				is questionable as defined in
				8.100.130.12
				NMAC.
B. a woman who meets all ACA
				eligibility requirements pursuant to 8.291.400 through 8.291.430 NMAC;
				and
C. the existence of creditable
				health insurance is not a disqualifying factor.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 293 - MEDICAID ELIGIBILITY - PREGNANT WOMEN › Part 400 - RECIPIENT REQUIREMENTS › Section 8.293.400.10 - BASIS FOR DEFINING THE ASSISTANCE UNIT AND BUDGET GROUP

Current through Register Vol. 35, No. 13, July 16, 2024
At the time of application, an applicant or recipient and the
				  department shall identify everyone who is to be considered for inclusion in the
				  assistance unit and budget group as defined in 8.291.430 NMAC. Each member of
				  the assistance unit and budget group, including any unborn child(ren), is
				  counted as one in the household size.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 293 - MEDICAID ELIGIBILITY - PREGNANT WOMEN › Part 400 - RECIPIENT REQUIREMENTS › Section 8.293.400.11 - PREGNANCY ASSISTANCE UNIT

Current through Register Vol. 35, No. 13, July 16, 2024
The assistance unit is the pregnant woman who applies for
				  medicaid and for whom an eligibility determination is made.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 293 - MEDICAID ELIGIBILITY - PREGNANT WOMEN › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.293.500.3 - 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 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 293 - MEDICAID ELIGIBILITY - PREGNANT WOMEN › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.293.500.5 - 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 293 - MEDICAID ELIGIBILITY - PREGNANT WOMEN › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.293.500.6 - OBJECTIVE

Current through Register Vol. 35, No. 13, July 16, 2024
The objective of this rule is to provide eligibility
				  guidelines when determining eligibility for the medical assistance division
				  (MAD) medicaid program and other health care programs it administers. Processes
				  for establishing and maintaining this category of eligibility are found in the
				  affordable care general provision chapter located at 8.291.400 NMAC through
				  8.291.430 NMAC.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 293 - MEDICAID ELIGIBILITY - PREGNANT WOMEN › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.293.500.8 - 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 293 - MEDICAID ELIGIBILITY - PREGNANT WOMEN › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.293.500.10 - INCOME STANDARD

Current through Register Vol. 35, No. 13, July 16, 2024
A.
				Financial eligibility: An applicant's financial eligibility is based on the
				rules in this chapter and 8.291.430 NMAC.
B. Income test: In order to become eligible
				for pregnant women medicaid, the total countable income of the budget group
				must be less than the income standard for pregnant woman eligibility found in
				8.291.430 NMAC.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 293 - MEDICAID ELIGIBILITY - PREGNANT WOMEN › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.293.500.11 - AVAILABLE INCOME

Current through Register Vol. 35, No. 13, July 16, 2024
Determination of eligibility for the assistance unit is made
				  by considering income that is available to the assistance unit and budget
				  group. The amount of countable income is determined pursuant to 8.291.430
				  NMAC.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 293 - MEDICAID ELIGIBILITY - PREGNANT WOMEN › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.293.500.12 - INCOME ELIGIBILITY

Current through Register Vol. 35, No. 13, July 16, 2024
Income methodology is based on modified adjusted gross income
				  (MAGI) in accordance with 42 Code of Federal Regulations (CFR) 435.603. Per
				  42 CFR
				  435.603(h)(2) HSD bases
				  financial eligibility on current monthly household income and family size.
				  Current monthly household income is defined as a 30-day period. If an amount of
				  income is received less frequently than monthly, that amount is converted by
				  dividing the total income by the number of months the income is intended to
				  cover.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 293 - MEDICAID ELIGIBILITY - PREGNANT WOMEN › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.293.500.13 - DISREGARDS

Current through Register Vol. 35, No. 13, July 16, 2024
An income disregard according to 8.291.430 NMAC will be given
				  only to an applicant whose countable modified adjusted gross income (MAGI)
				  income is at or above the income standard for a pregnant for the size of the
				  budget group.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 293 - MEDICAID ELIGIBILITY - PREGNANT WOMEN › Part 600 - BENEFIT DESCRIPTION › Section 8.293.600.3 - 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 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 293 - MEDICAID ELIGIBILITY - PREGNANT WOMEN › Part 600 - BENEFIT DESCRIPTION › Section 8.293.600.5 - 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 293 - MEDICAID ELIGIBILITY - PREGNANT WOMEN › Part 600 - BENEFIT DESCRIPTION › Section 8.293.600.6 - OBJECTIVE

Current through Register Vol. 35, No. 13, July 16, 2024
The objective of this rule is to provide eligibility
				  guidelines when determining eligibility for the medical assistance division
				  (MAD) medicaid program and other health care programs it administers. Processes
				  for establishing and maintaining this category of eligibility are found in the
				  affordable care general provision chapter located at 8.291.400 NMAC through
				  8.291.430 NMAC.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 293 - MEDICAID ELIGIBILITY - PREGNANT WOMEN › Part 600 - BENEFIT DESCRIPTION › Section 8.293.600.8 - 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 293 - MEDICAID ELIGIBILITY - PREGNANT WOMEN › Part 600 - BENEFIT DESCRIPTION › Section 8.293.600.9 - BENEFIT DESCRIPTION

Current through Register Vol. 35, No. 13, July 16, 2024
This category provides the full range of medicaid coverage
				  for the duration of the pregnancy and for the 12-month postpartum
				  period.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 293 - MEDICAID ELIGIBILITY - PREGNANT WOMEN › Part 600 - BENEFIT DESCRIPTION › Section 8.293.600.10 - BENEFIT DETERMINATION

Current through Register Vol. 35, No. 13, July 16, 2024
The HSD income support division (ISD) determines initial and
				  ongoing eligibility. Refer to affordable care general provision chapters
				  located at 8.291.400 through 8.291.430 NMAC for eligibility requirements. An
				  individual eligible for pregnant women medicaid remains eligible throughout the
				  pregnancy and for a 12-month postpartum period in accordance with 8.291.400.14
				  NMAC. Retroactive medicaid coverage is provided in accordance with
				  8.200.400.14
				  NMAC.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 293 - MEDICAID ELIGIBILITY - PREGNANT WOMEN › Part 600 - BENEFIT DESCRIPTION › Section 8.293.600.11 - REPORTING REQUIREMENTS

Current through Register Vol. 35, No. 13, July 16, 2024
All changes that may affect eligibility must be reported
				  within 10 calendar days of the date of the change as detailed in 8.291.400
				  NMAC.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 294 - MEDICAID ELIGIBILITY - PREGNANCY-RELATED SERVICES › Part 400 - RECIPIENT REQUIREMENTS › Section 8.294.400.3 - 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 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 294 - MEDICAID ELIGIBILITY - PREGNANCY-RELATED SERVICES › Part 400 - RECIPIENT REQUIREMENTS › Section 8.294.400.5 - 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 294 - MEDICAID ELIGIBILITY - PREGNANCY-RELATED SERVICES › Part 400 - RECIPIENT REQUIREMENTS › Section 8.294.400.6 - OBJECTIVE

Current through Register Vol. 35, No. 13, July 16, 2024
The objective of this rule is to provide eligibility
				  guidelines when determining eligibility for the medical assistance division
				  (MAD) medicaid program and other health care programs it administers. Processes
				  for establishing and maintaining this category of eligibility are found in the
				  affordable care general provision chapter located at 8.291.400 NMAC through
				  8.291.430 NMAC.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 294 - MEDICAID ELIGIBILITY - PREGNANCY-RELATED SERVICES › Part 400 - RECIPIENT REQUIREMENTS › Section 8.294.400.9 - WHO CAN BE A RECIPIENT

Current through Register Vol. 35, No. 13, July 16, 2024
To be eligible, a woman must meet the following eligibility
				  requirements:
A. Per
				42 CFR
				435.956(e) HSD accepts
				self-attestation of pregnancy unless HSD has reason to believe the information
				is questionable as defined in
				8.100.130.12
				NMAC.
B. a woman who meets all
				affordable care act (ACA) eligibility requirements pursuant to 8.291.400
				through 8.291.430 NMAC; and
C. the
				existence of creditable health insurance is not a disqualifying
				factor.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 294 - MEDICAID ELIGIBILITY - PREGNANCY-RELATED SERVICES › Part 400 - RECIPIENT REQUIREMENTS › Section 8.294.400.10 - BASIS FOR DEFINING THE ASSISTANCE UNIT AND BUDGET GROUP

Current through Register Vol. 35, No. 13, July 16, 2024
At time of application, an applicant or recipient and the
				  department shall identify everyone who is to be considered for inclusion in the
				  assistance unit and budget group as defined in 8.291.430 NMAC. Each member of
				  the assistance unit and budget group, including any unborn child(ren), is
				  counted as one in the household size.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 294 - MEDICAID ELIGIBILITY - PREGNANCY-RELATED SERVICES › Part 400 - RECIPIENT REQUIREMENTS › Section 8.294.400.11 - PREGNANCY ASSISTANCE UNIT

Current through Register Vol. 35, No. 13, July 16, 2024
The assistance unit is the pregnant woman who applies for
				  medicaid and for whom an eligibility determination is made.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 294 - MEDICAID ELIGIBILITY - PREGNANCY-RELATED SERVICES › Part 400 - RECIPIENT REQUIREMENTS › Section 8.294.400.12 - BUDGET GROUP

Current through Register Vol. 35, No. 13, July 16, 2024
The budget group is established in accordance with 8.291.430
				  NMAC.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 294 - MEDICAID ELIGIBILITY - PREGNANCY-RELATED SERVICES › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.294.500.3 - 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 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 294 - MEDICAID ELIGIBILITY - PREGNANCY-RELATED SERVICES › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.294.500.5 - 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 294 - MEDICAID ELIGIBILITY - PREGNANCY-RELATED SERVICES › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.294.500.6 - OBJECTIVE

Current through Register Vol. 35, No. 13, July 16, 2024
The objective of this rule is to provide eligibility
				  guidelines when determining eligibility for the medical assistance division
				  (MAD) medicaid program and other health care programs it administers. Processes
				  for establishing and maintaining this category of eligibility are found in the
				  affordable care general provision chapter located at 8.291.400 NMAC through
				  8.291.430 NMAC.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 294 - MEDICAID ELIGIBILITY - PREGNANCY-RELATED SERVICES › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.294.500.7 - DEFINITIONS

Current through Register Vol. 35, No. 13, July 16, 2024
Refer to
				  8.291.400.7
				  NMAC.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 294 - MEDICAID ELIGIBILITY - PREGNANCY-RELATED SERVICES › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.294.500.8 - 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 294 - MEDICAID ELIGIBILITY - PREGNANCY-RELATED SERVICES › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.294.500.9 - RESOURCE STANDARDS

Current through Register Vol. 35, No. 13, July 16, 2024
Resources are not an eligibility factor for this category of
				  eligibility.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 294 - MEDICAID ELIGIBILITY - PREGNANCY-RELATED SERVICES › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.294.500.10 - INCOME STANDARD

Current through Register Vol. 35, No. 13, July 16, 2024
A.
				Financial eligibility: An individual's financial eligibility is based on the
				rules in this chapter and 8.291.430 NMAC.
B. Income test: In order to become eligible
				for pregnancy medicaid, the total countable income of the budget group must be
				less than two hundred and fifty percent of the federal poverty guidelines found
				at 8.291.430 NMAC.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 294 - MEDICAID ELIGIBILITY - PREGNANCY-RELATED SERVICES › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.294.500.11 - AVAILABLE INCOME

Current through Register Vol. 35, No. 13, July 16, 2024
Determination of eligibility for the assistance unit is made
				  by considering income that is available to the assistance unit and budget
				  group. The amount of countable income is determined pursuant to 8.291.430
				  NMAC.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 294 - MEDICAID ELIGIBILITY - PREGNANCY-RELATED SERVICES › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.294.500.12 - INCOME ELIGIBILITY

Current through Register Vol. 35, No. 13, July 16, 2024
Income methodology is based on modified adjusted gross income
				  (MAGI) in accordance with 42 Code of Federal Regulations (CFR) 435.603. Per
				  42 CFR
				  435.603(h)(2) HSD bases
				  financial eligibility on current monthly household income and family size.
				  Current monthly household income is defined as a 30-day period. If an amount of
				  income is received less frequently than monthly, that amount is converted by
				  dividing the total income by the number of months the income is intended to
				  cover.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 294 - MEDICAID ELIGIBILITY - PREGNANCY-RELATED SERVICES › Part 500 - INCOME AND RESOURCE STANDARDS › Section 8.294.500.13 - DISREGARDS

Current through Register Vol. 35, No. 13, July 16, 2024
An income disregard according to 8.291.430 NMAC will be given
				  only to individuals whose countable MAGI income is at or above two hundred and
				  fifty percent of the federal poverty level for the size of the budget
				  group.
New Mexico Administrative Code › Title 8 - SOCIAL SERVICES › Chapter 294 - MEDICAID ELIGIBILITY - PREGNANCY-RELATED SERVICES › Part 600 - BENEFIT DESCRIPTION › Section 8.294.600.3 - 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 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.