51,436 sections across 3,184 New Mexico regulatory chapters.
R.8.297.600-8.297.600.11 PERIODIC REDETERMINATIONS OF ELIGIBILITY
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A. A four month period of eligibility following parent caretaker medicaid is established without a new application. At the end of the four month period of eligibility a beneficiary is evaluated for other medicaid coverage in accordance with 8.291.410.19 NMAC. Retroactive medicaid…
R.8.297.600-8.297.600.2 SCOPE
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The rule applies to the general public.
R.8.297.600-8.297.600.3 STATUTORY AUTHORITY
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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…
R.8.297.600-8.297.600.4 DURATION
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Permanent.
R.8.297.600-8.297.600.5 EFFECTIVE DATE
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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.
R.8.297.600-8.297.600.6 OBJECTIVE
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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…
R.8.297.600-8.297.600.7 DEFINITIONS
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Refer to 8.291.400.7 NMAC.
R.8.297.600-8.297.600.8 RESERVED
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R.8.297.600-8.297.600.9 BENEFIT DESCRIPTION
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A medicaid eligible recipient under this category is eligible to receive the full range of medicaid covered services.
R.8.298.400-8.298.400.1 ISSUING AGENCY
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New Mexico Health Care Authority.
R.8.298.400-8.298.400.2 SCOPE
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The rule applies to the general public.
R.8.298.400-8.298.400.3 STATUTORY AUTHORITY
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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…
R.8.298.400-8.298.400.4 DURATION
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Permanent.
R.8.298.400-8.298.400.5 EFFECTIVE DATE
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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.
R.8.298.400-8.298.400.6 OBJECTIVE
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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…
R.8.298.400-8.298.400.7 DEFINITIONS
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Refer to 8.291.400.7 NMAC.
R.8.298.400-8.298.400.8 RESERVED
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R.8.298.400-8.298.400.9 WHO CAN BE AN ELIGIBLE RECIPIENT
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A 12 month transitional medical assistance (TMA) period is established following the loss of parent caretaker eligibility due to new or increased earnings. TMA is the full medicaid coverage of last resort. A parent or caretaker is evaluated for other full medicaid coverage, inclu…
R.8.298.500-8.298.500.1 ISSUING AGENCY
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New Mexico Health Care Authority.
R.8.298.500-8.298.500.10 INCOME STANDARDS
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There are no income standards for this category of eligibility.
R.8.298.500-8.298.500.2 SCOPE
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The rule applies to the general public.
R.8.298.500-8.298.500.3 STATUTORY AUTHORITY
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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 NMSA 1978, Section 27-1-12 et seq. Section 9-8-1 et seq. NMSA …
R.8.298.500-8.298.500.4 DURATION
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Permanent.
R.8.298.500-8.298.500.5 EFFECTIVE DATE
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January 1, 2014, unless a later date is cited at the end of a section.
R.8.298.500-8.298.500.6 OBJECTIVE
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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…
R.8.298.500-8.298.500.7 DEFINITIONS
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Refer to 8.291.400.7 NMAC.
R.8.298.500-8.298.500.8 MISSION
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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.
R.8.298.500-8.298.500.9 RESOURCE STANDARDS
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There are no resource standards for this category of eligibility.
R.8.298.600-8.298.600.1 ISSUING AGENCY
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New Mexico Health Care Authority.
R.8.298.600-8.298.600.10 BENEFIT DETERMINATION
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The HSD income support division (ISD) determines initial and ongoing eligibility.
R.8.298.600-8.298.600.11 PERIODIC REDETERMINATIONS OF ELIGIBILITY
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A. A 12 month period of eligibility following parent caretaker medicaid is established without a new application. At the end of the 12 month period of eligibility a beneficiary is evaluated for other medicaid coverage in accordance with 8.291.410.19 NMAC. Retroactive medicaid cov…
R.8.298.600-8.298.600.2 SCOPE
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The rule applies to the general public.
R.8.298.600-8.298.600.3 STATUTORY AUTHORITY
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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…
R.8.298.600-8.298.600.4 DURATION
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Permanent.
R.8.298.600-8.298.600.5 EFFECTIVE DATE
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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.
R.8.298.600-8.298.600.6 OBJECTIVE
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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…
R.8.298.600-8.298.600.7 DEFINITIONS
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Refer to 8.291.400.7 NMAC.
R.8.298.600-8.298.600.8 RESERVED
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R.8.298.600-8.298.600.9 BENEFIT DESCRIPTION
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A medicaid eligible recipient under this category is eligible to receive the full range of medicaid covered services.
R.8.299.400-8.299.400.1 [Effective until 7/1/2025] ISSUING AGENCY
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New Mexico Health Care Authority.
R.8.299.400-8.299.400.10 BASIS FOR DEFINING THE GROUP
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At time of application, an applicant or recipient and the department shall identify everyone who is to be considered for inclusion in the assistance unit and budget group as defined in 8.291.430 NMAC.
R.8.299.400-8.299.400.2 SCOPE
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The rule applies to the general public.
R.8.299.400-8.299.400.3 [Effective until 7/1/2025] STATUTORY AUTHORITY
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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 …
R.8.299.400-8.299.400.4 DURATION
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Permanent.
R.8.299.400-8.299.400.5 EFFECTIVE DATE
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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.
R.8.299.400-8.299.400.6 OBJECTIVE
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The objective of this rule is to provide specific instructions when determining eligibility for the medicaid program and other health care programs. Processes for establishing and maintaining this category of eligibility are found in the affordable care general provision chapter …
R.8.299.400-8.299.400.7 DEFINITIONS: [RESERVED]
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R.8.299.400-8.299.400.8 [Effective until 7/1/2025] RESERVED
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R.8.299.400-8.299.400.9 [Effective until 7/1/2025] WHO CAN BE A RECIPIENT (42 CFR 435.214)
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HSD provides medicaid limited to family planning and family planning related services to individuals (of any gender) who: A. are under the age of 51 and do not have other health insurance; or B. who are under the age of 65 who have only medicare coverage and no other health insur…
R.8.299.500-8.299.500.1 ISSUING AGENCY
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New Mexico Health Care Authority.