New Mexico Administrative Code

A. If an applicant/recipient of CYFD medicaid has earned income and is not a full-time student in elementary school, high school, or a course of vocational or technical training, their earnings are considered in the earned income calculation. B. Earned income exclusions:(1) Exclu…

Unearned incomes includes but is not limited to social security benefits, child support, gifts, contributions, and all other cash income which does not meet the definition of earned income. Unearned income is counted in the gross amount received. A. Unearned income exclusions and…

Income is not deemed to an applicant/recipient from their parents if the applicant/recipient is the full or partial financial responsibility of CYFD. Any voluntary contributions made by the applicant/ recipient's parent(s) is considered as unearned income.

This rule applies to the general public.

The combination of the applicant/recipient's earned income and unearned income minus any applicable exclusions and disregards is compared to the maximum income standard for one person to determine if the applicant/recipient is eligible for CYFD medicaid.

Lump sums are considered as income in the month received and resources (if retained) as of the first moment of the first day of the following month.

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 Section 27-2-12…

Permanent.

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

The objective of these regulations is to provide eligibility policy and procedures for the medicaid program.

New Mexico Health Care Authority.

A. A written signed application must be made for every approved CYFD medicaid case. (1) For voluntary placements, the parent(s) or guardian(s) must complete and sign the application on behalf of the child. (2) For involuntary placements, information should be obtained from the pa…

Notice of approval or denial of the application for CYFD medicaid is prepared. If the applicant is ineligible, the denial notice contains the reason for denial and explanation of the applicant's right to request an administrative hearing.

A periodic review to reestablish eligibility for medicaid must be done every six months.

Up to three months of retroactive medicaid coverage can be furnished to applicants who have received medicaid-covered services during the retroactive period and would have met applicable eligibility criteria had they applied during the three months prior to the month of applicati…

Case closure must be effective the month following the month the case ceases to meet any of the financial or non-financial eligibility requirements. Case closure information must be transmitted to the medicaid claims processing contractor within 30 days of closure.

The rule applies to the general public.

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 Section 27-2-12 …

Permanent.

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

The objective of these regulations is to provide eligibility policy and procedures for the medicaid program.

An applicant/ recipient who is eligible for medicaid under this category is eligible to receive the full range of medicaid-covered services.

New Mexico Health Care Authority, Income Support Division.

The rule applies to the general public.

Article 1 and 2 of Chapter 27 NMSA 1978 authorize the state to administer the aid to families with dependent children program (AFDC). Title IV of the Social Security Act and the rules and regulations of the federal department of health, education and welfare, carried under Title …

Permanent.

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

The objective of the AFDC - emergency assistance child safety restraint seat program is to assist needy children and their families by providing newborn children with child safety restraint seats. The seats, as well as training on their use, will be provided to families with a ne…

Eligibility is based upon four requirements: destitution, emergency situation, compliance with project forward components, and birth. A. Destitution: To be eligible to receive AFDC -emergency assistance child safety restraint seat program benefits, an applicant's respective famil…

New Mexico Health Care Authority.

A. The human services department (HSD) has an agreement under Section 1634 of the Social Security Act with the social security administration (SSA) for SSA to make medicaid eligibility determinations. Supplemental security income (SSI) recipients (categories 001, 003, and 004) wh…

The rule applies to the general public.

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 Section 27-2-12 …

Permanent.

January 1, 2019, unless a later date is cited at the end of the section.

The objective of these regulations is to provide eligibility policy and procedures for the medicaid program.

All noninstitutionalized married couples who are eligible for supplemental security income (SSI) are treated as separate individuals for determining eligibility and benefit amounts, beginning the month after the month they begin living apart. In the case of an initial application…

New Mexico Health Care Authority (HCA).

A "resource" is defined as cash or liquid assets and real or personal property which is owned and can be used either directly, or by sale or conversion, for the applicant/recipient's support and maintenance. Resources may be liquid or non-liquid and may be excluded from the eligi…

The resource standard for medicaid extension as well as retroactive SSI medicaid eligibility determinations is $2,000. A. Liquid resources: The face value of liquid resources such as cash, savings or checking accounts is considered in determining medicaid eligibility. The countab…

Before a resource can be considered countable, the three criteria listed below must be met. A. Ownership interest: An applicant/recipient must have an ownership interest in a resource for it to be countable. The fact that an applicant/recipient has access to a resource, or has a …