New Mexico Administrative Code

(Reserved.)

(Reserved.)

(Reserved.)

(Reserved.)

(Reserved.)

(Reserved.)

(Reserved.)

(Reserved.)

(Reserved.)

(Reserved.)

(Reserved.)

(Reserved.)

(Reserved.)

(Reserved.)

(Reserved.)

(Reserved.)

(Reserved.)

(Reserved.)

(Reserved.)

(Reserved.)

(Reserved.)

(Reserved.)

New Mexico Health Care Authority.

MAD furnishes extended coverage under the Patient Protection and Affordable Care Act (ACA) to a former foster care recipient up to 26 years of age regardless if he or she also meets a MAP category of other adult eligibility when: A. the applicant or recipient is a current residen…

An eligible recipient 18 years of age or under can be eligible for a MAP category of CYFD eligibility if New Mexico bears full or partial responsibility for the eligible recipient and makes a payment on behalf of him or her. An eligible recipient 18 years of age or under will be …

To be eligible for CYFD medicaid, an individual must be under 18 years of age and must be in a substitute care placement or temporarily in a medical facility with an ultimate plan to be placed in substitute care arrangement. A. Removal from home: An individual who is in the custo…

See 8.200.410 NMAC.

See 8.200.410 NMAC.

See 8.200.410 NMAC.

To meet the requirements for a MAP category of CYFD eligibility, an applicant or re-determining recipient must be under 18 years of age, except as outlined in Section 9 and 10 of this rule. A. Students under 19: When an eligible recipient reaches 18 years of age, he or she loses …

MAD has established requirements of CYFD when the applicant or re-determining recipient meets a MAP category of CYFD eligibility; see 8.200.420 NMAC. A. CYFD requirements: The authorized representative of CYFD who signs the MAP eligibility application on behalf of the applicant o…

When an applicant or re-determining recipient is approved for a MAP category of CYFD eligibility, the authorized CYFD representative must report within 10 calendar days any known change in the eligible recipient's circumstances which may affect his or her continued eligibility.

MAD has established special requirement rules. See 8.200.420 NMAC. A. CYFD requirements: The authorized representative of CYFD who signs the MAD eligibility application on behalf of the applicant or re-determining recipient must notify MAD of any available third party medical cov…

The rule applies to the general public.

For all eligible recipients who receive medical assistance program services through CYFD, any change in an eligible recipient's circumstances which affect his or her eligibility must be documented and acted upon by the CYFD authorized representative within 10 calendar days of CYF…

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 1…

Permanent.

October 1, 2015, unless a later date is cited at the end of a section.

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) medical assistance programs (MAP) eli…

A. "Full or partial financial responsibility" means a payment has been made by the children, youth and families department (CYFD) on behalf of the eligible recipient during each month for which MAP eligibility is sought. The nature of CYFD's financial responsibility must be docum…

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.

A. MAD is required to furnish coverage to an eligible recipient under 18 years of age for whom adoption assistance or foster care maintenance payments are made under Title IV-E of the Social Security Act ) 42 CFR Section 436.118). B. MAD has opted to furnish coverage to an eligib…

New Mexico Health Care Authority.

To be eligible for CYFD medicaid, the value of all countable personal and real property, considered belonging to or available to an applicant/recipient under 18 years of age or 21 years of age in expanded foster care medicaid category 006 or 066 cannot exceed $1,000. If an applic…

The authorized representative from CYFD who completes the application on behalf of the applicant/recipient must initiate all appropriate steps to make available property or resources to which the applicant/recipient may be entitled. Normally, individuals under 18 do not own/contr…

Countable resources include but are not limited to the following: A. cash value of life insurance policy owned by the applicant/recipient; B. cash, bank accounts and other readily negotiable assets owned by the applicant/recipient are countable resources; C. equipment, tools, and…

Certain resources are excluded from the resource computation. A. Vehicle exclusion: The equity value of one vehicle belonging to the applicant/recipient or in their name, is not considered a countable resource if the value of the vehicle is $1,500 or less. Any excess over $1,500 …

To be eligible for CYFD Medicaid, the applicant/ recipient must not have transferred resources within two years prior to application for the purpose of qualifying for CYFD medicaid. An applicant/recipient under eighteen years of age cannot transfer property, except through a guar…

If an applicant/recipient is the beneficiary of a trust fund, a copy of the trust document and any other documents pertaining to the creation of the trust must be submitted to the eligibility unit of the medical assistance division for coordination of the trust analysis with the …

A. To be eligible for CYFD medicaid, the applicant/ recipient's income must be less than the maximum aid to families with dependent children (AFDC) standard for one person. See 8.200.520.10 NMAC, Income Standards. Any earned and unearned income that belongs to the applicant/recip…