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]