New Mexico Administrative Code

Resources are not an eligibility factor for this category of eligibility.

New Mexico Health Care Authority.

The HSD income support division (ISD) determines initial and ongoing eligibility. Refer to affordable care general provision chapters located at 8.291.400 through 8.291.430 NMAC for eligibility requirements. An individual eligible for pregnancy-related services medicaid remains e…

All changes that may affect eligibility must be reported within 10 calendar days of the date of the change as detailed in 8.291.400 NMAC.

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 or by state statute. See Section 27-1-12 et seq., NMSA 1978. Section 9-8-1 et seq. NMSA…

Permanent.

January 1, 2019, or upon a later approval date by the federal centers for medicare and medicaid services (CMS), unless a later date is cited at the end of the section.

The objective of this rule is to provide eligibility guidelines when determining eligibility for the medical assistance division (MAD) medicaid program and other health care programs it administers. Processes for establishing and maintaining this category of eligibility are found…

Refer to 8.291.400.7 NMAC.

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.

This category provides the full range of Medicaid coverage for the duration of the pregnancy and for the 12-month postpartum period.

New Mexico Health Care Authority.

To be considered in a child assistance unit, an individual must apply and be determined eligible. Individuals living with the applicant who meet criteria in 8.291.430 NMAC are included in the budget group.

A. A budget group that includes the applicant and has countable income between the following federal income poverty limits (FPL) is considered to be eligible for the CHIP: (1) if the applicant in the assistance unit is under the age of six and the assistance unit and budget group…

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 and XXI of the Social Security Act as amended or by state statute. See Section 27-1-12 et seq. NMSA 1978. Section 9-8-1 et se…

Permanent.

January 1, 2014, unless a later date is cited at the end of a section.

The objective of this rule is to provide eligibility guidelines when determining eligibility for the medical assistance division (MAD) medicaid program and other health care programs it administers. Processes for establishing and maintaining this category of eligibility are found…

Refer to 8.291.400.7 NMAC.

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.

To be eligible, an applicant must meet specific medical assistance programs (MAP) requirements: A. an individual under 19 years of age; and B. an individual who meets Affordable Care Act (ACA) eligibility requirements pursuant to 8.291.400 through 2.291.430 NMAC.

New Mexico Human Services Department (HSD).

A. Financial eligibility: An individual's financial eligibility is based on the rules in this chapter and 8.291.430 NMAC. B. Income test: In order to become eligible for children's medicaid, the total countable income of the budget group must be less than the income standard for …

Income methodology is based on modified adjusted gross income (MAGI) in accordance with 42 Code of Federal Regulations (CFR) 435.603. Per 42 CFR 435.603(h)(2) HSD bases financial eligibility on current monthly household income and family size. Current monthly household income is …

An income disregard according to 8.291.430 NMAC, will be given only to the following: A. individuals whose budget group's countable MAGI income is at or above one hundred and ninety percent of the FPL if the assistance unit consists of a child age six to age 19, or two hundred an…

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 Titles XIX and XXI of the Social Security Act as amended or by state statute. See NMSA 1978, Section 27-1-12 et seq.

Permanent.

January 1, 2014, unless a later date is cited at the end of a section.

The objective of this rule is to provide eligibility guidelines when determining eligibility for the medical assistance division (MAD) medicaid program and other health care programs it administers. Processes for establishing and maintaining this category of eligibility are found…

Refer to 8.291.400.7 NMAC.

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.

Resources are not an eligibility factor for this category of eligibility.

New Mexico Health Care Authority.

The HSD income support division determines initial and ongoing eligibility. Refer to affordable care general provision chapters located at 8.291.400 through 8.291.430 NMAC for eligibility requirements. Retroactive medicaid coverage is provided in accordance with 8.200.400.14 NMAC…

A. A redetermination of eligibility is made in accordance with 8.291.410 NMAC. B. Continuous eligibility is applicable for medicaid eligible children. Refer to 8.291.400NMAC. C. All changes that may affect eligibility must be reported within 10 calendar days of the date of the ch…

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 and XXI of the Social Security Act as amended or by state statute. See Section 27-1-12 et seq., NMSA 1978. Section 9-8-1 et s…

Permanent.

January 1, 2019, or upon a later approval date by the federal centers for medicare and medicaid services (CMS), unless a later date is cited at the end of the section.

The objective of this rule is to provide eligibility guidelines when determining eligibility for the medical assistance division (MAD) medicaid program and other health care programs it administers. Processes for establishing and maintaining this category of eligibility are found…

Refer to 8.291.400.7 NMAC.

This category provides full range of medicaid-covered services for eligible children. A. An eligible child age five and under, whose budget group's countable income is less than two hundred forty percent of the federal poverty level (FPL) guidelines, receives the full range of me…

New Mexico Health Care Authority.

To be considered in the other adult assistance unit, an individual must apply and be determined eligible. Individuals living with the other adult who meet criteria in 8.291.430 NMAC are included in the budget group.

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 or by state statute. See Section 27-1-12 et seq., NMSA 1978. Section 9-8-1 et seq. NMSA…