New Mexico Register / Volume XXXIII, Issue 7 / April 5, 2022
This is an amendment to 8.294.600 NMAC, Sections 8, 9 and
10, effective 4/5/2022.
8.294.600.8 [RESERVED] MISSION: 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.
[8.294.600.8 NMAC - Rp, 8.294.600.8 NMAC, 1/1/2019; A, 4/5/2022]
8.294.600.9 BENEFIT
DESCRIPTION: [This category provides
medicaid services restricted to and related to pregnancy only. These services do not cover procedures,
services, pharmaceuticals, or miscellaneous items which are not related to
pregnancy.] This category provides the full range of Medicaid coverage for
the duration of the pregnancy and for the 12-month postpartum period.
[8.294.600.9 NMAC - Rp, 8.294.600.9 NMAC, 1/1/2019; A, 4/5/2022]
8.294.600.10 BENEFIT
DETERMINATION: 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. [A woman eligible for
pregnancy-related services remains eligible throughout her pregnancy and for a
60 day postpartum period. The postpartum
period begins on the date the pregnancy ends, extends 60 days, and then ends on
the last day of the month in which the 60 day period ends per 42 CFR 435.4.]
An individual eligible for pregnancy-related services medicaid remains
eligible throughout the pregnancy and for a 12-month postpartum period in
accordance with 8.291.400.14 NMAC. Retroactive
medicaid coverage is provided in accordance with 8.200.400.14 NMAC.
[8.294.600.10 NMAC - Rp, 8.294.600.10 NMAC, 1/1/2019; A, 4/5/2022]