New Mexico Administrative Code

(Reserved.)

(Reserved.)

(Reserved.)

(Reserved.)

(Reserved.)

(Reserved.)

(Reserved.)

(Reserved.)

(Reserved.)

New Mexico Health Care Authority.

Refer to 8.200.410.10 NMAC.

Refer to 8.200.410.11 NMAC.

Refer to 8.200.410.12 NMAC.

A. An applicant or re-determining recipient for Category 034 must meet all other SSI eligibility standards, including:(1) applicant or re-determining recipient's own income and resources must be below SSI standards; (2) nonconcurrent receipt of assistance; (3) residence; (4) aged…

Refer to 8.200.430 NMAC.

At the time of application, an applicant shall identify everyone who is to be considered for inclusion in the assistance unit and budget group. The composition of the assistance unit and budget group is based on the relationship of the household members. Each member of the assist…

The assistance unit includes the applicant and may include others in the household who are determined eligible.

The budget group includes all members of the assistance unit. Additional budget group members include individuals who live in the household with the assistance unit and have a financial obligation of support. A. Except for an SSI recipient, the following individuals have a financ…

The rule applies to the general public.

A. Living in the home with a relative: To be included in the assistance unit, a child must be living, or considered to be living, in the home of: (1) a natural or an adoptive parent; there is a presumption that a child born to a married woman is the child of the spouse, or if the…

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, NMSA 1978, Section 27-1-12 et…

Permanent.

January 1, 2014, 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) eligibility, 8.200 NMAC, Medicaid Eli…

[RESERVED]

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.

A. An individual must meet specific eligibility requirements. These include: (1) an individual meets the social security administration (SSA) definitions of aged, blind, or disabled and is ineligible for supplemental security income (SSI) solely because of deemed income or resour…

New Mexico Health Care Authority.

The resource standards for establishing eligibility are described in 8.215.500 NMAC. The resources of a non-citizen sponsor are not considered when determining eligibility.

The income standards for establishing eligibility are described in 8.215.500 NMAC. The income of a non-citizen sponsor is not considered when determining eligibility.

The rule applies to the general public.

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 NMSA 1978, Section 27-1-12 et …

Permanent.

January 1, 2014, 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) eligibility policy manual, specifical…

[RESERVED]

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.

An individual's financial need is based on meeting supplemental security income (SSI) federal benefit rate (FBR) income and resource methodology pursuant to 8.215.500 NMAC.

New Mexico Health Care Authority.

A. Income support division (ISD) determines initial and ongoing eligibility. B. Up to three months of retroactive medicaid coverage is provided to an applicant who has received a medicaid covered service during the retroactive period and who would have met applicable eligibility …

A. Move during eligibility determination: If an applicant moves to another county while the eligibility determination is pending, the county ISD office in which the application was originally registered shall transfer the case to the new responsible office. B. Delays in eligibili…

A. A re-determination of eligibility is made every 12 months. B. All changes that may affect eligibility must be reported within 10 calendar days from the date of the change as detailed in 8.200.430 NMAC.

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…

The rule applies to the general public.

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.

January 1, 2014, 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) eligibility policy manual, specifical…