51,436 sections across 3,184 New Mexico regulatory chapters.
R.8.321.11-8.321.11.62 FOOD SERVICE
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Requirements of Section 8.321.11.62 NMAC apply to facilities providing a residential treatment program. A. The CTC shall have either contracted food preparation or prepare food on site. B. A CTC that contracts food preparation shall have a dietary or a kitchen area adequate to me…
R.8.321.11-8.321.11.63 LAUNDRY SERVICES
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A. General requirements. The CTC shall provide laundry services, either on the premises or through a commercial laundry and linen service. (1) On-site laundry facilities shall be located in areas separate from the resident units and shall be provided with necessary washing and dr…
R.8.321.11-8.321.11.64 WATER
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A. A CTC licensed pursuant to these regulations must be provided with an adequate supply of water that is of a safe and sanitary quality suitable for domestic use. B. If the water supply is not obtained from an approved public system, the private water system must be inspected, t…
R.8.321.11-8.321.11.65 SEWAGE AND WASTE DISPOSAL
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A. All sewage and liquid wastes must be disposed of into a municipal sewage system where such facilities are available. B. Where a municipal sewage system is not available, the system used must be inspected and approved by the New Mexico environment department or recognized local…
R.8.321.11-8.321.11.66 ELECTRICAL STANDARDS
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A. All electrical installation and equipment must comply with all current state and local codes. B. Circuit breakers or fused switches that provide electrical disconnection and over current protection shall be:(1) enclosed or guarded to provide a dead front assembly; (2) readily …
R.8.321.11-8.321.11.67 LIGHTING
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A. All spaces occupied by people, machinery, or equipment within buildings, approaches to buildings, and parking lots shall have lighting. B. Lighting will be sufficient to make all parts of the area clearly visible. C. All lighting fixtures must be shielded. D. Lighting fixtures…
R.8.321.11-8.321.11.68 ELECTRICAL CORDS AND RECEPTACLES
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A. Electrical cords and extension cords shall: (1) be U/L approved; (2) be replaced as soon as they show wear; (3) be plugged into an electrical receptacle within the room where used; (4) not be used as a general wiring method; and (5) not be used in series. B. Electrical recepta…
R.8.321.11-8.321.11.69 EMERGENCY POWER & LIGHTING
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Emergency electrical service with an independent power source which covers lighting at attendant stations, exit and corridor lights, boiler room, and fire alarm systems shall be provided. A. The service may be battery operated if effective for at least four hours. B. Facilities s…
R.8.321.11-8.321.11.7 DEFINITIONS
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A. Definitionsbeginning with "A": (1) "Administrator" means the person who is delegated the administrative responsibility for interpreting, implementing, and applying policies and procedures at the crisis triage center. The administrator is responsible for establishing and mainta…
R.8.321.11-8.321.11.70 FIRE SAFETY COMPLIANCE
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All current applicable requirements of state and local codes for fire prevention and safety must be met by the CTC.
R.8.321.11-8.321.11.71 FIRE CLEARANCE AND INSPECTIONS
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Each CTC must request from the fire authority having jurisdiction an annual fire inspection. If the policy of the fire authority having jurisdiction does not provide for annual inspection of the CTC, the CTC must document the date the request was made and to whom. If the fire aut…
R.8.321.11-8.321.11.72 AUTOMATIC FIRE PROTECTION (SPRINKLER) SYSTEM
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Facilities with residential services shall have an automatic fire protection (sprinkler) system. The system shall be in accordance with NFPA 13 or NFPA 13D or its subsequent replacement as applicable. Sprinkler heads in the residential unit shall be of the protective type, either…
R.8.321.11-8.321.11.73 FIRE ALARMS, SMOKE DETECTORS AND OTHER EQUIPMENT
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The system shall be in accordance with NFPA 13 or NFPA 13D or its subsequent replacement as applicable. A. Facilities shall have a manual fire alarm system. The manual fire alarm shall be inspected and approved in writing by the fire authority with jurisdiction. B. Approved smoke…
R.8.321.11-8.321.11.74 FIRE EXTINGUISHERS
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Fire extinguisher(s) must be located in the CTC, as approved by the state fire marshal or the fire prevention authority with jurisdiction. A. Facilities must as a minimum have two 2A10BC fire extinguishers: (1) one extinguisher located in the kitchen or food preparation area; (2)…
R.8.321.11-8.321.11.75 STAFF FIRE AND SAFETY TRAINING
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A. All staff of the CTC must know the location of and instructed in proper use of fire extinguishers and other procedures to be observed in case of fire or other emergencies. The CTC should request the fire authority having jurisdiction to give periodic instruction in fire preven…
R.8.321.11-8.321.11.76 EVACUATION PLAN
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Each CTC must have a fire evacuation plan conspicuously posted in each separate area of the building showing routes of evacuation in case of fire or other emergencies.
R.8.321.11-8.321.11.77 HEATING, VENTILATION, AND AIRCONDITIONING
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A. Heating, airconditioning, piping, boilers, and ventilation equipment must be furnished, installed and maintained to meet all requirements of current state and local mechanical, electrical, and construction codes. B. The heating, ventilation and air-conditioning system must be …
R.8.321.11-8.321.11.78 WATER HEATERS
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A. Must be able to supply hot water to all hot water taps within the CTC at full pressure during peak demand periods and maintain a maximum temperature of 120 degrees fahrenheit. B. Fuel fired hot water heaters must be enclosed and separated from other parts of the building by co…
R.8.321.11-8.321.11.79 ADDITIONAL REQUIREMENTS FOR FACILITIES SERVING YOUTH
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All requirements in the above rules apply to all facilities. For facilities serving youth, the additional requirements of this section must also be met. A. Physical environment for general building requirements: Facilities serving adults and youth must locate youth resident rooms…
R.8.321.11-8.321.11.8 STANDARD OF COMPLIANCE
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The degree of compliance required throughout these regulations is designated by the use of the words "shall" or "must" or "may". "Shall" or "must" means mandatory compliance. "May" means permissive compliance. The words "adequate", "proper", and other similar words mean the degre…
R.8.321.11-8.321.11.80 RISK ASSESSMENT
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Use of physical restraint must be consistent with federal and state laws and regulations and must include the following: A. Physical restraints of youth are implemented only by staff who have been trained and certified by a state recognized body in the prevention and use of physi…
R.8.321.11-8.321.11.81 CLIENT RIGHTS
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All licensed facilities shall understand, protect and respect the rights of all youth demonstrating substantial compliance with all applicable New Mexico Children's Code, Section 32A-1-1 NMSA 1978, including the NM Children's Mental Health and Developmental Disabilities Act, Sect…
R.8.321.11-8.321.11.82 CLIENT CLINICAL RECORD
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The client clinical records maintained by a crisis triage center in a paper based or electronic system shall document the degree and intensity of the treatment provided to clients who are furnished services by the CTC. A client's clinical record shall contain at a minimum all req…
R.8.321.11-8.321.11.83 STAFFING REQUIREMENTS
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Other staff requirements: A. All CYFD background check requirements governing criminal records clearances must remain in effect while a program is accredited. B. When a prospective employee that will work with or have access to youth has not lived in the United States continuousl…
R.8.321.11-8.321.11.84 PERSONNEL RECORDS
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Each CTC licensed pursuant to these regulations intending to work with youth must maintain a complete record on file for each staff member or volunteer including: A. Completed CYFD criminal records and background check, including the FBI-approved electronic fingerprint for each e…
R.8.321.11-8.321.11.85 STAFF TRAINING
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At least 12 hours of on-going training shall be provided to staff that provides direct care at least annually; the training and proof of competency shall include at a minimum: NM Children's Mental Health and Developmental Disabilities Act Section 32A-6A-1 et. seq., NMSA 1978.
R.8.321.11-8.321.11.9 SCOPE OF SERVICES
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A. General scope of services: These regulations apply to crisis triage centers (CTC) which are health facilities offering youth and adult outpatient and residential care services. A CTC provides stabilization of behavioral health crises as outpatient stabilization or short-term r…
R.8.321.2-8.321.2.1 ISSUING AGENCY
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New Mexico Health Care Authority (HCA).
R.8.321.2-8.321.2.10 ADULT ACCREDITED RESIDENTIAL TREATMENT CENTER (AARTC) FOR ADULTS WITH SUBSTANCE USE DISORDERS
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To help an eligible recipient 18 years of age and older, who has been diagnosed as having a SUD, and the need for AARTC has been identified in the eligible recipient's diagnostic evaluation as meeting criteria of the American society of addiction medicine (ASAM) level of care thr…
R.8.321.2-8.321.2.11 ADULT ACCREDITED RESIDENTIAL TREATMENT CENTER (AARTC) FOR ADULTS WITH SERIOUS MENTAL HEALTH CONDITIONS
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To help an eligible recipient 18 years of age and older, who has been diagnosed as having a serious mental health condition, and the need for AARTC has been identified in the eligible recipient's diagnostic evaluation as meeting criteria of the level of care utilization system (L…
R.8.321.2-8.321.2.12 ACCREDITED RESIDENTIAL TREATMENT CENTER FOR YOUTH (ARTC)
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To help an eligible recipient under 21 years of age when the need for ARTC has been identified in the eligible recipient's tot to teen health check screen (EPSDT) program (42 CFR section 441.57) or other diagnostic evaluation, and for whom a less restrictive setting is not approp…
R.8.321.2-8.321.2.13 APPLIED BEHAVIOR ANALYSIS (ABA)
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MAD pays for medically necessary, empirically supported, applied behavior analysis (ABA) services for eligible recipients who have a well-documented medical diagnosis of autism spectrum disorder (ASD), and for eligible recipients who have well-documented risk for the development …
R.8.321.2-8.321.2.14 ASSERTIVE COMMUNITY TREATMENT SERVICES
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To help an eligible recipient with medically necessary services MAD pays for covered assertive community treatment services (ACT). See Subsections A and B of 8.321.2.9 NMAC for MAD general provider requirements. A. Eligible providers: (1) An ACT agency must demonstrate compliance…
R.8.321.2-8.321.2.15 BEHAVIORAL HEALTH PROFESSIONAL SERVICES FOR SCREENINGS, EVALUATIONS, ASSESSMENTS AND THERAPY
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MAD covers validated screenings for high-risk conditions in order to provide prevention or early intervention. Brief interventions or the use of the treat first clinical model may be billed with a provisional diagnosis for up to four encounters. After four encounters, if continui…
R.8.321.2-8.321.2.16 BEHAVIORAL HEALTH RESPITE CARE (Managed Care Organization (MCO))
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As part of the managed care comprehensive service system, behavioral health respite service is for short-term direct care and supervision of the eligible recipient in order to afford the parent(s) or caregiver a respite for their care of the recipient and takes place in the recip…
R.8.321.2-8.321.2.17 BEHAVIOR MANAGEMENT SKILLS DEVELOPMENT SERVICES
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To help an eligible recipient under 21 years of age who is in need of behavior management intervention receive services, MAD pays for behavior management services (BMS) as part of the EPSDT program and when the need for BMS is identified in a tot to teen health check screen or ot…
R.8.321.2-8.321.2.18 COGNITIVE ENHANCEMENT THERAPY (CET)
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CET services provide treatment service for an eligible recipient 18 years of age or older with cognitive impairment associated with the following serious mental illnesses: schizophrenia, bipolar disorder, major depression, recurrent schizoaffective disorder, or autism spectrum di…
R.8.321.2-8.321.2.19 COMPREHENSIVE COMMUNITY SUPPORT SERVICES (CCSS)
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To help a NM eligible recipient receive medically necessary services, MAD pays for covered CCSS. This culturally sensitive service coordinates and provides services and resources to an eligible recipient and their family necessary to promote recovery, rehabilitation, and resilien…
R.8.321.2-8.321.2.2 SCOPE
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The rule applies to the general public.
R.8.321.2-8.321.2.20 CRISIS INTERVENTION SERVICES
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MAD pays for a continuum of community-based crisis intervention services which are immediate, and designed to ameliorate, prevent, or minimize a crisis episode or to prevent inpatient psychiatric hospitalization, medical detoxification, emergency department use, multiple system i…
R.8.321.2-8.321.2.21 CRISIS TRIAGE CENTER
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MAD pays for a set of services, either outpatient or residential, to eligible adults and youth 14 years of age and older, to provide voluntary and involuntary stabilization of behavioral health crises including emergency mental health evaluation and care. Crisis triage centers (C…
R.8.321.2-8.321.2.22 DAY TREATMENT
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MAD pays for services provided by a day treatment provider as part of the EPSDT program for eligible recipients under 21 years of age (42 CFR section 441.57). The need for day treatment services (DTS) must be identified through an EPSDT tot to teen health check or other diagnosti…
R.8.321.2-8.321.2.23 FAMILY SUPPORT SERVICES (FSS) (MCO reimbursed only)
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Family support services are community-based, face-to-face interactions with children, youth or adults and their family, available to managed care members only. Family support services enhance the member family's strengths, capacities, and resources to promote the member's ability…
R.8.321.2-8.321.2.24 INPATIENT PSYCHIATRIC CARE IN FREESTANDING PSYCHIATRIC HOSPITALS AND PSYCHIATRIC UNITS OF ACUTE CARE HOSPITALS
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To assist the eligible recipient in receiving necessary mental health services, MAD pays for inpatient psychiatric care furnished in freestanding psychiatric hospitals as part of the EPSDT program (42 CFR 441.57). A freestanding psychiatric hospital (an inpatient facility that is…
R.8.321.2-8.321.2.25 INSTITUTION FOR MENTAL DISEASES (IMD) FOR SUBSTANCE USE DISORDER (SUD)
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IMD is defined as any facility with more than 16 beds that is primarily engaged in the delivery of psychiatric care or treating substance use disorders (SUD) that is not part of a certified general acute care hospital. The federal medicaid IMD exclusion generally prohibits paymen…
R.8.321.2-8.321.2.26 INTENSIVE OUTPATIENT PROGRAM (IOP) FOR SUBSTANCE USE DISORDERS (SUD)
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MAD pays for time limited IOP services utilizing a multi-faceted approach to treatment for an eligible recipient who requires structure and support to achieve and sustain recovery. IOP must utilize a research and evidence-based model approved through the process described in the …
R.8.321.2-8.321.2.27 INTENSIVE OUTPATIENT PROGRAM (IOP) FOR MENTAL HEALTH CONDITIONS
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MAD pays for IOP services which provide a time limited, multi-faceted approach to treatment for an eligible recipient with a SMI or SED including an eating disorder or borderline personality disorder who requires structure and support to achieve and sustain recovery. IOP must uti…
R.8.321.2-8.321.2.28 MEDICATION ASSISTED TREATMENT (MAT)
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BUPRENORPHINE TREATMENT FOR OPIOID USE DISORDER: MAD pays for coverage for medication assisted treatment (MAT) for opioid use disorder to an eligible recipient as defined in the Drug Addiction Treatment Act of 2000 (DATA 2000), the Comprehensive Addiction and Recovery Act of 2016…
R.8.321.2-8.321.2.29 MULTI-SYSTEMIC THERAPY (MST) and MST PROBLEM SEXUAL BEHAVIOR (MST-PSB)
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To help an eligible recipient 10 up to 18 years of age receive behavioral health services to either remain in or re-enter their home and community, MAD pays for MST and MST-PSB services as part of EPSDT program (42 CFR 441.57). MAD covers medically necessary MST services required…
R.8.321.2-8.321.2.3 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 27-2-12 et seq., NMSA …