New Mexico Register / Volume XXXIII, Issue 22 / November 29, 2022

 

 

This is an amendment to 8.280.500 NMAC, Sections 8, 9, 11 and 23, effective 12/1/2022.

 

8.280.500.8          [RESERVED] MISSION STATEMENT:  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.

[8.280.500.8 NMAC - N, 12/1/2022]

 

8.280.500.9          NEED DETERMINATION:  Eligibility for PACE is determined prospectively.  Applicants/recipients must meet, or expect to meet, all financial eligibility criteria in the month for which a determination of eligibility is made.  Applicants for and recipients of medicaid through PACE must apply for, and take all necessary steps to obtain, any income or resources to which they may be entitled.  Such steps must be taken within [thirty (30)] 30 days of the date the human services department (HSD) furnishes notice of the potential entitlement.  Failure or refusal to apply for and take all necessary steps to determine eligibility for other benefits after notice is received results in an applicant/recipient becoming ineligible for medicaid.

                A.            Applicants/recipients who have elected a lower [VA] veterans affairs (VA) payment do not need to reapply for veteran’s administration improved pension (VAIP) benefits.

                B.            Crime victims are not required to accept victim’s compensation payments from a state-administered fund as a condition of medicaid eligibility.

[8.280.500.9 NMAC - Rp, 8 NMAC 4.PAC.500, 12/1/2006; A, 12/1/2022]

 

8.280.500.11        APPLICABLE RESOURCE STANDARDS:  An applicant/recipient is eligible for medicaid on the factor of resources if countable resources do not exceed [two thousand dollars ($2,000)] $2,000.  See 8.281.500.11 NMAC.

[8.280.500.11 NMAC - Rp, 8 NMAC 4.PAC.511, 12/1/2006; A, 12/1/2022]

 

8.280.500.23        MEDICAL CARE CREDIT:  There are medical care credits in PACE only when a PACE recipient enters a nursing facility.  See [8.281.500.23] 8.281.500.22 NMAC.

[8.280.500.23 NMAC - Rp, 8 NMAC 4.PAC.530, 12/1/2006; A, 12/1/2022]