51,436 sections across 3,184 New Mexico regulatory chapters.
R.7.30.3-7.30.3.15 OUT-OF-STATE PROVIDER POLICY
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Services must be purchased within the state of NM, unless the need to purchase services elsewhere is documented and approved by the CMS medical director. A. Services may be purchased outside the state of NM when:(1) the specific service is not available in NM; or (2) an eligible …
R.7.30.3-7.30.3.16 CONFIDENTIALITY
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Information shall be released by the program only as permissible per state and federal law.
R.7.30.3-7.30.3.17 NOTICE AND APPEALS PROCEDURE
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A. Record review. All applicants whose application for services from CMS has been denied and all clients who have been denied requested services by the program may request a record review from CMS. B. Procedure for requesting informal administrative review. (1) The applicant or c…
R.7.30.3-7.30.3.18 ELIGIBLE MEDICAL CONDITIONS
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The division shall periodically issue an index of conditions which identifies eligible medical conditions. The index shall be reviewed at least annually and revised as necessary. Coverage may change dependent upon available funds. Coverage is provided subject to the further guide…
R.7.30.3-7.30.3.19 PEDIATRIC SUBSPECIALISTS
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For children age 18 years and under with chronic, complex cardiac, endocrine, neurology, and pulmonary conditions, the CMS program will authorize payment for consultation and follow up services only to board certified pediatric subspecialists when they are available within the st…
R.7.30.3-7.30.3.2 SCOPE
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General public.
R.7.30.3-7.30.3.20 VOLUNTEERS
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The children's medical services program may use volunteers as allowed by program, division, and department guidelines.
R.7.30.3-7.30.3.21 SEVERABILITY
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If any part or application of the children's medical services program regulations is held invalid, the remainder, or its application to other situations or persons, shall not be affected.
R.7.30.3-7.30.3.3 STATUTORY AUTHORITY
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The regulations set forth herein are promulgated by the secretary of department of health by authority of Subsections E and F of Section 9-7-6 NMSA 1978 and Section 24-2-1 NMSA 1978. Administration and enforcement of these regulations is the responsibility of the public health di…
R.7.30.3-7.30.3.4 DURATION
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Permanent.
R.7.30.3-7.30.3.5 EFFECTIVE DATE
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October 30, 2012, unless a later date is cited at the end of a section.
R.7.30.3-7.30.3.6 OBJECTIVE
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The objective is to establish criteria for eligibility and application of services from the children's medical services program, to delineate client and provider responsibilities as well as an appeals procedure, and to set forth an index of eligible conditions.
R.7.30.3-7.30.3.7 DEFINITIONS
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A. "Application" means the written request, on forms prescribed by the division, for enrollment, and provision of supportive documentation of residence, income, age, and medical diagnosis for eligibility determination under children's medical services program. B. "Assets" means s…
R.7.30.3-7.30.3.8 ELIGIBILITY
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A. Medical management eligibility: To be eligible for medical management through CMS an applicant must meet all of the following requirements: (1) the applicant must be a resident of NM; (2) the applicant must be financially eligible; (income below 200% of the federal poverty lev…
R.7.30.3-7.30.3.9 APPLICATION, ENROLLMENT AND REFERRAL
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Application for CMS services must be made in person, by telephone, or by letter from the client or another referral source to any children's medical services office, located in most counties in NM, generally in the public health division's county health offices. A. If an applicat…
R.7.30.4-7.30.4.1 ISSUING AGENCY
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New Mexico Department of Health, Public Health Division, Maternal and Child Health Bureau.
R.7.30.4-7.30.4.10 FUND DISTRIBUTION
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A. Duty of the department: To the extent funds are made available for the purposes of the County Maternal and Child Health Plan Act, the department shall provide for the distribution of financial assistance to eligible organizations which have applied for and demonstrated a need …
R.7.30.4-7.30.4.11 OTHER PROVISIONS
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A. Severability: If any part or application of the County Maternal and Child Health Plan Act regulation is held invalid, the remainder or its application to other situations or persons shall not be affected. B. Effect of departmental regulations - These regulations are subject to…
R.7.30.4-7.30.4.2 SCOPE
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County Maternal and Child Health Plan Act Regulations shall apply to the use of the funds available pursuant to the County Maternal and Child Health (MCH) Plan Act, Chapter 24 Article 1B NMSA 1978.
R.7.30.4-7.30.4.3 STATUTORY AUTHORITY
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The County Maternal and Child Health Plan Act Regulations are adopted by the secretary of the health department pursuant to the authority of Chapter 24 Article 1B Section 7 NMSA 1978. The mailing address is: New Mexico Department of Health, Public Health Division, Maternal and Ch…
R.7.30.4-7.30.4.4 DURATION
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Permanent.
R.7.30.4-7.30.4.5 EFFECTIVE DATE
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August 4, 1992, unless a different date is cited at the end of the section or paragraph.
R.7.30.4-7.30.4.6 OBJECTIVE
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The purpose of the County Maternal and Child Health Plan Act is to encourage the development of comprehensive, family centered, community-based, culturally competent, maternal and child health plans designed to coordinate available resources to meet the needs of childbearing wome…
R.7.30.4-7.30.4.7 DEFINITIONS
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A. "Act" means the County Maternal and Child Health Plan Act, Chapter 24 Article 1B NMSA 1978. B. "Approved plan" means a comprehensive maternal and child health services plan which has been approved by the public health division of the department of health and is described in de…
R.7.30.4-7.30.4.8 PLANNING CONTRACTS
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A. Duty of the department: The department may contract with boards of county commissioners in New Mexico to assist counties in the creation and development of a Plan for meeting the MCH service needs of the county. Such efforts must be consistent with the requirements set out in …
R.7.30.4-7.30.4.9 SERVICES CONTRACTS
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A. Duty of the department: The department may contract with a New Mexico county commission or qualified service providers to assist counties in the provision of critical maternal and child health services in underserved areas of the state. Such efforts must be consistent with pri…
R.7.30.5-7.30.5.1 ISSUING AGENCY
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New Mexico Department of Health, Epidemiology and Response Division and Division of Health Improvement.
R.7.30.5-7.30.5.10 LICENSE RENEWAL
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Upon submitting an annual renewal, applicants for renewed facility licensure will include an updated attestation letter signed by the applicant's facility administrator, regardless of whether the facility submitted a letter upon initial license application or in any previous year…
R.7.30.5-7.30.5.11 PROGRAM SERVICES
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Facilitiesmust provide training and education to prevent shaken baby syndrome to every parent of every newborn before discharging a newborn from the health facility. A. The training program must be approved by the department in conjunction with the university of New Mexico health…
R.7.30.5-7.30.5.12 TRAINING PROGRAM APPROVAL PROCESS
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The training and instructional materials must be approved by the department in collaboration with the university of New Mexico health sciences center department of pediatrics. A. Each facility shall submit a proposed training curriculum to the epidemiology and response division o…
R.7.30.5-7.30.5.13 CLIENT CLINICAL RECORD
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Facilities must store paper or electronic records of the training of each parent or parents conducted under these regulations.
R.7.30.5-7.30.5.14 REPORTING TO THE HEALTH DEPARTMENT
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A.Annually, each hospital and freestanding birth center shall send a report to the epidemiology and response division noting the total number of births and the number of parents who attended trainings. (1) The number of parents attending training shall, for statistical and report…
R.7.30.5-7.30.5.2 SCOPE
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These regulations apply to all hospitals and freestanding birth centers licensed to operate in New Mexico.
R.7.30.5-7.30.5.3 STATUTORY AUTHORITY
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The regulations set forth herein are promulgated by the secretary of the New Mexico department of health, pursuant to Section 24-1-13.2 NMSA 1978 and the general authority granted under Subsection E of Section 9-7-6 NMSA 1978, Department of Health Act, as amended; and Subsection …
R.7.30.5-7.30.5.4 DURATION
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Permanent.
R.7.30.5-7.30.5.5 EFFECTIVE DATE
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October 15, 2019 unless a later date is cited at the end of a section.
R.7.30.5-7.30.5.6 OBJECTIVE
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To establish rules that require hospitals and freestanding birth centers to provide training and education to prevent shaken baby syndrome to every parent of every newborn before discharge.
R.7.30.5-7.30.5.7 DEFINITIONS
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A. "Department" means the New Mexico department of health. B. "Epidemiology and response division" means the epidemiology and response division of the New Mexico department of health. C. "Facility" means both a licensed hospital and a licensed freestanding birth center. D. "Licen…
R.7.30.5-7.30.5.8 STANDARD OF COMPLIANCE
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A. The degree of compliance required throughout these regulations is designated by the use of the words "shall" or "must" or "may". (1) "Shall" or "must" means mandatory. (2) "May" means permissive. B. The words "adequate", "proper", and other similar words mean the degree of com…
R.7.30.5-7.30.5.9 INITIAL LICENSE PROCEDURES
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In the application packet for a facility's licensure, the applicant will include an attestation letter signed by its chief administrator of the facility pledging ongoing compliance with this regulation.
R.7.30.6-7.30.6.1 ISSUING AGENCY
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New Mexico Department of Health.
R.7.30.6-7.30.6.10 WAIVER
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A. Pursuant to Section 24-1-6 NMSA 1978, parents or guardians may waive the requirements for newborn screening tests in writing. B. The department's newborn screening program will provide the hospital, birthing centers, and midwives with forms for waiver. C. The infant's PCP, mid…
R.7.30.6-7.30.6.11 COLLECTION AND SCREENING PROCEDURES
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A. Newborn screening collection kits shall only be purchased from the NM department of health's children's medical services newborn screening program. B. The department of health's newborn screening program shall set the rate for newborn screening kits. The fees collected from pu…
R.7.30.6-7.30.6.12 FOLLOW-UP PROCEDURES
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A. All results will be reported to the hospital and infants PCP for placement in the child's medical record. B. In the event of positive or questionable screening test results, the department of health's children's medical services newborn screening program and or contracted outr…
R.7.30.6-7.30.6.13 STORAGE OF NEWBORN SCREENING SPECIMENS
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A. The newborn screening program of the department of health or contracted laboratory may store the blood samples of newborns collected for the screening of genetic disorders for up to one year. After that time, the blood samples shall be destroyed. B. The newborn screening progr…
R.7.30.6-7.30.6.2 SCOPE
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Universal screening of all infants born in New Mexico (NM) for the congenital conditions listed and defined herein shall be done through a statewide screening program established through the public health division. The department shall institute and carry on such laboratory servi…
R.7.30.6-7.30.6.3 STATUTORY AUTHORITY
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The statutory authority for these regulations is contained in Section 9-7-6 NMSA 1978 and Section 24-1-6 NMSA 1978 as amended Laws 1981, Chapter 95, Sec. 1.
R.7.30.6-7.30.6.4 DURATION
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Permanent.
R.7.30.6-7.30.6.5 EFFECTIVE DATE
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October 30, 2012, unless a later date is cited at the end of a section.
R.7.30.6-7.30.6.6 OBJECTIVE
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The purpose of these regulations is to establish standards and procedures to assure congenital metabolic conditions and other genetic disorders which can cause significant mental or physical retardation or significant morbidity or mortality can be detected by screening newborn in…