New Mexico Administrative Code

Permanent.

July 1, 2024, unless a later date is cited at the end of a section.

The objective of these regulations is to provide general policy and procedures for income support division (ISD) administered programs.

County directors are responsible for equitable and efficient assignment of assistance cases.

County directors and ISS supervisors conduct case reviews as directed by their district operations managers.

New Mexico Health Care Authority.

Verification shall be requested only when necessary to establish a specific eligibility factor or benefit amount for a program and is not available or acceptable from an electronic source, in accordance with other benefit requirements. The method of verification which is selected…

An applicant/ recipient is always allowed the complete time processing deadline for the program to provide necessary verification. The minimum amount of time allowed is specific to the program. This requirement pertains to requests for verification for initial applications as wel…

A. To be considered questionable, incomplete or inadequate, the information or verification must be documented as one of the following:(1) inconsistent with statements made by the applicant/recipient; (2) inconsistent with other information on the application or previous applicat…

A. SNAP and cash assistance programs: Verification of identity for the applicant is mandatory at application for the SNAP and cash assistance programs. Documents that can be used to verify identity for the SNAP and cash assistance programs include, but are not limited to: (1) pho…

A. Verification of nonconcurrent receipt of assistance is mandatory. ISD has responsibility for verifying nonconcurrent receipt of benefits usually through government data systems or other state agencies.(1) For SNAP purposes, non-receipt of SNAP benefits from this state or anoth…

A. Verification that the enumeration requirement for an applicant/recipient has been met is mandatory for applicants who are seeking benefits for themselves unless the benefit program does not require enumeration, or the applicant seeking benefits is in an immigration status not …

This section details the specific types of information and documents to be used in establishing the citizenship and non-citizen status for individuals who are applying for food assistance, cash assistance and medical assistance programs for themselves. A. Citizenship for SNAP and…

A. Verification of New Mexico residence is mandatory. Residence may be verified by the use of documentary evidence provided for other eligibility criteria. B. Documents that can be used to verify residency include:(1) rent or mortgage receipt; (2) statement from landlord; (3) uti…

A. The applicant/ recipient's statement regarding household composition will be accepted. B. Household composition will only be verified when determined questionable as defined by 8.100.130.12 NMAC. Documents that may be used to verify household composition include: (1) lease agr…

A. Age of child: Verification of age of children is mandatory for cash and medical assistance for children programs. (1) For cash assistance: Age of the child is verified prior to approval. (2) For medical assistance for children: Age of the child is verified to determine if the …

The rule applies to the general public.

A. The statement of the parent, specified relative, or caretaker of school attendance for children under 18 years of age is acceptable to verify school attendance for the cash assistance program, unless questionable. B. Verification of school attendance for all minor unmarried pa…

A. Verification of relationship is mandatory in the cash assistance program. The relationship between the parent or other caretaker relative and each child included in the benefit group must be verified. B. Documents that can be used to verify relationship include:(1) birth certi…

A. Fraud conviction for dual state receipt of benefits: The existence of a fraud conviction for simultaneous receipt of benefits from two states is determined based upon client statement on the application form. If ISD receives other information indicating the existence of a dual…

The applicant/ recipient's statement is acceptable for verification of resources unless the household is near the resource maximum limit and the information given is not questionable. If information is questionable, inconsistent or the household is near the maximum; ISD must clea…

Verification of income is mandatory for all programs. A. Social security benefits (OASDI, SSI): Documents which may be used to verify OASDI/ SSI benefits include: (1) award letter (Form SSA 1610); (2) copy of a check(s) - amount of medicare premium must be added in; (3) letter fr…

A. Wages and salaries: Documents which may be used to verify current wages and salaries include: (1) wage stubs; (2) written statement from the employer; (3) additional items as listed in ISD 135, "proof checklist"; or (4) if documentary evidence is not readily available or is qu…

A. The applicant/ recipient's statement is acceptable for verification of shelter expenses, if the information given is not questionable. If information is questionable or inconsistent; ISD must clearly document why the household's statement was unacceptable and what information …

A. Verification of medical expenses is mandatory for SNAP if the applicant/recipient meets one of the criteria listed below. The applicant/recipient's statement that no reimbursement will be received will be accepted unless questionable. If the household claims a reimbursement, a…

A. The applicant/ recipient's statement is acceptable for verification of dependent care expenses, if the information given is not questionable. If information is questionable or inconsistent; ISD must clearly document why the household's statement was unacceptable and why inform…

A. Section 27 NMSA 1978 (1992 Repl.) provides for the health care authority to "...adopt, amend and repeal bylaws, rules and regulations...." It also provides for administration of public assistance programs. B. The income support division (ISD) of the health care authority (HCA)…

Permanent.

July 1, 2024, unless a later date is cited at the end of a section.

The objective of these regulations is to provide general policy and procedures for income support division (ISD) administered programs.

The income support division (ISD) is responsible for administering food, cash, energy, and medical assistance programs. These programs are funded through federal or state sources and provide assistance to individuals who meet certain eligibility factors. State and federal regulat…

A. Verification to determine eligibility and benefit level is obtained through six methods. Not all methods will necessarily be used in each case. The six methods are outlined in Subsections B through G of this section as well as the circumstance in which they may be used. B. Pri…

New Mexico Health Care Authority.

A. Heading: Case name and number. B. Application and intake: (1) date of application, program applied for and reason for application stated in terms of the client's circumstances; (2) documentation of worker's explanation of client's rights and responsibilities; (3) names of indi…

A. date of interview and how household composition or living arrangements are established; B. documentation of school attendance of children in benefit group; C. documentation of current resources and income; accounting for all formerly reported income and resources; D. updated i…

The rule applies to the general public.

A. Section 27 NMSA 1978 (1992 Repl.) provides for the department to "...adopt, amend and repeal bylaws, rules and regulations..." It also provides for administration of public assistance programs. B. The income support division (ISD) of the health care authority (HCA) was created…

Permanent.

November 27, 2013, unless a later date is cited at the end of a section.

The objective of these regulations is to provide general policy and procedures for the ISD administered programs.

[Reserved]

A. ISD case records consisting of forms, records, narrative material, correspondence, and documents are scanned into electronic format and maintained in the department's secure electronic data management system. Documents submitted in person will be electronically scanned and ret…

The following narrative outline is used on all applications for assistance, and to record data and verification concerning all variable conditions of eligibility. After the initial determination of eligibility for assistance, no additional data are required in redeterminations ex…

New Mexico Health Care Authority.

A. Narrative: All narratives are kept permanently. B. Documents: Copies of documents such as court orders, medical information, birth certificates, social security cards, death certificates, contracts, etc., are filed in the record permanently.

Correspondence used to establish eligibility should be retained for four years. Correspondence not used to establish eligibility may be deleted after one year.

The rule applies to the general public.

A. Section 27 NMSA 1978 (1992 Repl.) provides for the health care authority to "...adopt, amend and repeal bylaws, rules and regulations¦." It also provides for administration of public assistance programs. B. The income support division (ISD) of the health care authority (HCA) w…