TITLE
7 HEALTH
CHAPTER
30 FAMILY AND CHILDREN HEALTH CARE
SERVICES
PART
3 CHILDREN’S MEDICAL
SERVICES AND ADULT CYSTIC FIBROSIS
7.30.3.1 ISSUING AGENCY: The Department of Health, Public Health
Division.
[7.30.3.1 NMAC - Rp, 7 NMAC 30.3.1, 10/30/12]
7.30.3.2 SCOPE: General public.
[7.30.3.2 NMAC - 7 NMAC 30.3.2, 10/30/12]
7.30.3.3 STATUTORY AUTHORITY: The regulations set forth herein are
promulgated by the secretary of department of health by authority of
Subsections E and F of Section 9-7-6 NMSA 1978 and
Section 24-2-1 NMSA 1978. Administration and
enforcement of these regulations is the responsibility of the public health
division of the department of health.
[7.30.3.3 NMAC - Rp, 7 NMAC 30.3.3, 10/30/12]
7.30.3.4 DURATION: Permanent.
[7.30.3.4 NMAC - 7 NMAC 30.3.4, 10/30/12]
7.30.3.5 EFFECTIVE DATE: October 30, 2012, unless a later date is
cited at the end of a section.
[7.30.3.5 NMAC - Rp, 7 NMAC 30.3.5, 10/30/12]
7.30.3.6 OBJECTIVE: The objective is to establish criteria for
eligibility and application of services from the children’s medical services
program, to delineate client and provider responsibilities as well as an
appeals procedure, and to set forth an index of eligible conditions.
[7.30.3.6 NMAC - Rp, 7 NMAC 30.3.6, 10/30/12]
7.30.3.7 DEFINITIONS:
A. “Application”
means the written request, on forms prescribed by the division, for enrollment,
and provision of supportive documentation of residence, income, age, and
medical diagnosis for eligibility determination under children’s medical
services program.
B. “Assets”
means savings accounts, stocks and bonds, checking accounts, accessible trust
funds, and real property. Assets do not
include loans which need to be repaid, or homestead acreage used for the
production of income if this is the primary source of income, or personal
property that is used in the production of income if related to the primary
source of income.
C. “Care coordination” means coordination
of resources across agency and professional lines to develop and attain the
client’s service plan with optimal client/family participation.
D. “Care coordinator” means the person
employed by the children’s medical services program to assist the family in
planning, implementing, evaluating and coordinating with other health care
professionals to establish and carry out a service plan for the client.
E. “Child”
means a person below the age of 18.
F. “Children’s
medical services (“CMS”) means a
unit of the public health division in the New Mexico (NM) department of health that
engages in:
(1) identification of
children and youth with, or at risk for having, special health care needs (CYSHCN);
(2) provision of
preventive, diagnostic, and treatment services and care coordination toward the
attainment of maximum health for children with special health care needs, and
adults with cystic fibrosis;
(3) promotion of the
development of quality health care and outcome measures for this population
(children and youth with special health care needs and adults with cystic
fibrosis);
(4) monitoring these
outcomes and the impact of changes in the health care system for this population;
(5) technical assistance
and training for individuals serving this population; and
(6) administration of the
universal newborn hearing screening program and the newborn genetic screening
program, and other necessary administrative services to assess the needs of
this population, facilitating access to care, and providing services.
G. “Client”
means the individual who is applying for or receiving services from the
children’s medical services program and includes the person with legal
authority to consent to medical care.
H. “Consultant” means a
professional licensed by the appropriate specialty board, such as audiology,
ophthalmology, orthodontia, speech or psychology, who provides statements of
eligibility and approves care plans within the specialty area.
I. “Date of
referral” means the calendar date a child or adult in need of services
first requested services by telephone, mail, written referral, or application
to a representative of the children’s medical services program.
J. “Department”
means the NM department of health.
K. “Diagnostic
services” means the provision of professional services to determine whether
or not the client has a diagnosis within the medical diagnostic categories established
in the medical index.
L. “Division”
means the public health division of the NM department of health, Post Office
Box 26110, Santa Fe, New Mexico 87502.
M. “Eligible
individual” means an individual below the age of 21 who is a resident of NM
and has or is at increased risk for chronic medical conditions and who requires
health and related services of a type or amount beyond that required by
children generally; or an adult with cystic fibrosis; or an individual of any
age who requires metabolic clinic services or genetic testing.
N. “Eligibility
for clinic only” means eligibility only for services at any specialty
clinics sponsored by the children’s medical services program.
O. “Eligibility
for medical management” means eligibility for purchase of health care
services approved by the children’s medical services program and payment of
expenses related to medical care such as lodging, meals, and transportation as
outlined in the service plan and approved by the children’s medical services
program.
P. “Eligibility
for care coordination only” means eligibility only for care coordination
services.
Q. “Enrollment”
means a statement, on forms prescribed by the division, and signed by the
client accepting services, and acknowledging that acceptance of these services
does not restrict eligibility for any other benefits or services.
R. “Expenditure”
means authorization of funds and payment for services to healthcare
professionals, institutions, and others.
S. “Financial
eligibility” means a household income below 200% of the federal poverty
guidelines which are published annually.
CMS is always the payor of last resort. Any and all third party payments must be
fully utilized before CMS payments are made.
Clients who have two or more other payor
sources such as insurance, medicare, etc., do not
meet financial eligibility for payment by the children’s medical services
program.
T. “Health”
means a state of physical and mental well-being, not merely the absence of
disease.
U. “Household”
means those who dwell under the same roof and are related by blood or marriage,
excluding those who constitute separate economic units as determined by the
service coordinator and documented in the case record.
V. “Income”
means earned and non-earned gross income of all persons who reside in the
household of the client, and have financial responsibility for the client, and
any contributions to the household from non-household members with financial
responsibility. Irregular and unpredictable
contributions in insignificant amounts are not considered income for the
purposes of these regulations.
W. “Medicaid”
means medical assistance eligibility, pursuant to Title XIX of the Social
Security Act, by the medical assistance division of the NM human services
department.
X. “Medical
director” means a pediatrician certified by the American board of
pediatrics, licensed to practice medicine in the state of NM, who assists the
program manager in the determination of medical eligibility for the children’s
medical services program and approves service plans and payment for eligible
children and adults.
Y. “Medical
index” means a listing of medical diagnoses for which an eligible
individual may receive coverage by the children’s medical services program.
Z. “Medical
report” means the written report of a provider giving the diagnosis of the
individual and the treatment recommended and provided.
AA. “Prior
approval” means the requirement of approval for expenditure of funds for
services before the service is rendered by a provider.
BB. “Program
manager” means the person or delegate responsible for the provision of
services through the children’s medical services program.
CC. “Provider”
means any individual or entity furnishing health care under a provider
agreement with the children’s medical services program.
DD. “Residence”
means place where client lives with the intent to make the place his permanent
and principal home.
EE. “Service plan”
means a statement, developed in partnership with the family/parent/guardian, of
the identified health needs of the client, how they will be met, by whom, and
within a specified time frame.
FF. “Third party”
means any person or entity that is liable to pay all or part of the medical
cost of injury, disease, or disability of a children’s medical services client.
GG. “Youth” means a person at least 18 years of age and less than 21
years of age.
[7.30.3.7 NMAC - Rp, 7 NMAC 30.3.7, 10/30/12]
7.30.3.8 ELIGIBILITY:
A. Medical
management eligibility: To be eligible
for medical management through CMS an applicant must meet all of the following
requirements:
(1) the applicant must be
a resident of NM;
(2) the applicant must be
financially eligible; (income below 200% of the federal poverty level). CMS is
always the payor of last resort; any and all third
party payments must be fully utilized before CMS payments are made; clients who
have two or more other payor sources such as
insurance, medicare, etc., do not meet financial
eligibility for payment by the children’s medical services program; and
(3) the applicant must be
medically eligible as defined in the medical index and the treatment protocols
and guidelines adopted by the children’s medical services program, and as
determined by the medical director.
B. Adult cystic
fibrosis eligibility: To be eligible
for medical coverage and care coordination services through the adult cystic
fibrosis program, an applicant must meet all of the following requirements:
(1) the applicant must be
21 years of age or older;
(2) the applicant must be
diagnosed as having cystic fibrosis by pilocarpine iontophoresis or by genetic studies;
(3) the applicant must be
a resident of NM; and
(4) the applicant must
meet financial eligibility criteria (income below 200% of the federal poverty
level); CMS is always the payor of last resort; any
and all third party payments must be fully utilized before CMS payments are
made; clients who have two or more other payor
sources such as insurance, medicare, etc., do not
meet financial eligibility for payment by the children’s medical services
program.
C. Clinic only
eligibility: To be eligible for
clinic services, an applicant must meet the following requirements:
(1) the applicant must be
under 21 years of age, except for metabolic clinics where applicant may be any
age;
(2) the applicant must be
a resident of NM; and
(3) the applicant must be
referred by a physician, physician’s assistant, or pediatric nurse
practitioner.
D. No
fee for clinic: There is no charge for the children’s medical service
sponsored clinic, however, there may be a charge for tests ordered by
physicians and completed outside of the clinics. Third party payment will be sought if
available.
E. Care coordination only eligibility: To the extent resources are available, care
coordination shall be provided for any child with special health care needs,
adult with cystic fibrosis, or individual at risk of having a child with
special needs, regardless of income.
[7.30.3.8 NMAC - Rp, 7 NMAC 30.3.8, 10/30/12]
7.30.3.9 APPLICATION, ENROLLMENT AND
REFERRAL: Application for CMS services must be made in
person, by telephone, or by letter from the client or another referral source
to any children’s medical services office, located in most counties in NM,
generally in the public health division’s county health offices.
A. If an
application is submitted within 30 days of referral, eligibility begins on the
date of referral. If the application is
submitted after the 30-day time limit has expired, eligibility begins on the date
the application was submitted.
B. The application
shall include medical and financial information, as appropriate. Medical records and documentation of income
and resources such as income tax returns, insurance policies, checks, check
stubs, or deeds to real property may be required before the application will be
deemed complete.
C. The care
coordinator shall assist in obtaining medical and financial documentation
insofar as she/he will define for the client what information is necessary to
complete the application. The care
coordinator may deny any application pending more than 30 days which has not
been completed. Individuals whose
application is denied may reapply at any time.
D. Upon receipt of
a completed application, including medical records and documentation of income
and assets, the division shall have 20 working days to determine eligibility
for children with special health care needs or adults with cystic
fibrosis. Written notification of
application approval or denial will be sent to the client no later than 20
working days after receipt of a completed application.
[7.30.3.9 NMAC - Rp, 7 NMAC 30.3.9, 10/30/12]
7.30.3.10 RESIDENCY: To be eligible
for any program under children’s medical services, applicant/recipients must be
living in NM on the date of application or determination of eligibility and
have demonstrated intent to remain in NM.
A. Establishing residence: Residence in NM is established by living in
the state and carrying out the types of activities normally associated with
everyday life, such as occupying a home, enrolling child(ren)
in school, getting a driver’s license, or renting a post office box. An applicant/recipient who is homeless is
considered to have met residency requirements if he intends to remain in the
state.
B. Abandonment
of residence: Residence is not
abandoned by temporary absences from the state.
Temporary absences occur when recipients leave NM for specific purposes
with time-limited goals. If a client
will be absent from NM for more than 30 days, he must notify the care
coordinator of his intent to maintain residency and eligibility for CMS
services. Residence is considered
abandoned when any of the following occur:
(1) applicant/recipient
leaves NM and indicates that he intends to establish residence in another
state;
(2) applicant/recipient
leaves NM for no specific purpose with no clear intention of returning;
(3) applicant/recipient
leaves the state and applies for financial, food, or medical assistance in
another state that makes residence a condition of eligibility; or
(4) applicant/recipient
has been absent from NM for more than 30 days without notifying the care
coordinator of departure and intention of returning.
[7.30.3.10 NMAC - N, 10/30/12]
7.30.3.11 CLIENT RESPONSIBILITIES:
A. Clients are
responsible for providing the division with accurate information concerning
their financial and medical eligibility when requested by the children’s medical
services program.
B. Clients must
apply for and inform the service coordinator of insurance, medicaid
or other possible source of payment for medical expenses. Clients who meet eligibility criteria for medicaid must apply.
C. Clients must
report the following changes to their care coordinator within 10 working days
of the date the client becomes aware of the change: changes in income exceeding $100.00 per
month; changes in household composition, insurance or medicaid
coverage; or change of address or telephone number.
D. Private
donations, if regular and predictable, will be considered income. If irregular or unpredictable, private
donations for the care of the child must be reported to the service coordinator
within ten working days of receipt of the donation if it exceeds $1,000.00.
E. Third party tort
liability: The client must notify the
care coordinator within 30 working days of knowledge of potential liability if
a third party may be liable for medical expenses. The client must advise the care coordinator
of the name of the potentially liable third party, and the names of all
attorneys representing the client.
(1) Any funds received
from a third party because of liability for injuries to a client for whom the
division is making medical payments must be used to repay the division for
money expended on behalf of the client.
(2) Clients must assign
to the division any right to recover or cause of action against a liable third
party and all proceeds recovered from liable third parties to the extent that
the division has made payment on behalf of the client.
(3) Failure to assign any
right to recover or cause of action, or proceeds described above shall be
grounds for denial of application or termination of payment for services by
division for a period not to exceed six months.
(4) Failure to advise the
division of anticipated court action as described above shall be grounds for
termination of payment for services for a period not to exceed six months, and
client shall be liable to the division for any sums expended by the division
for which the client receives compensation from a third party.
F. Failure to
provide correct and complete information necessary to determine eligibility and
failure to report changes, third party resources, including insurance
recoveries, potential liability or private donations as required above may
result in termination of benefits under these regulations and disqualification
from receipt of benefits for a period not to exceed six months, or civil action
to recover benefits wrongfully received.
G. Eligibility
review: The client receiving benefits
must have his/her eligibility reviewed annually. If the client does not respond to a request
for review, services may be denied, and the case may be closed 30 days after
the first letter of request is sent.
Closure date may be extended in certain circumstances at the discretion
of the CMS program manager or medical director.
H. If a client does
not follow treatment recommendations or directions made by a CMS care
coordinator, consultant or provider, services may be terminated and the
children’s medical services program manager or medical director may refuse to
pay for services because of the failure to follow treatment recommendations or
directions. Prior to termination of
services or failure to pay for services due to failure to follow treatment
recommendations or directions, a client may request a consult to review
treatment recommendations or directions he does not wish to follow.
[7.30.3.11 NMAC - Rp, 7 NMAC 30.3.10, 10/30/12]
7.30.3.12 PROVIDER RESPONSIBILITES:
A. Any person
wishing to provide health care in the children’s medical services program must
be a medicaid provider and shall operate under a
provider agreement with CMS.
B. Failure to
comply with the terms of the provider agreement may result in termination of
provider status and immediate cessation of payment for services rendered to the
client.
C. Providers must
submit legible and complete medical records for each service or set of related
services authorized by the program to the care coordinator. Failure to submit medical reports may result
in termination of the provider agreement.
Medical reports submitted to the program are the property of the
program. The program shall follow
applicable federal and state laws regarding release of these reports.
D. Providers must
meet standards of care established by appropriate licensing boards, certifying bodies
and standards as may be established by the CMS services program manager.
E. Providers must
seek and obtain prior approval for all services other than routine primary
care. Prior approval is obtained through
the client’s CMS care coordinator and may require review of the CMS medical
director.
F. Providers must
submit legible and complete medical reports for each service or set of related
services authorized by the program to the service coordinator. Failure to submit medical reports may result
in termination of the provider agreement.
G. Violations: Sanctions may be imposed by CMS against a
provider for any one or more of the following reasons.
(1) Knowingly and
willfully making or causing to be made any false statement or misrepresentation
of a material fact by:
(a)
presenting or causing to be presented for payment under children’s
medical services any false or fraudulent claim for services or merchandise;
(b)
submitting or causing to be submitted false information for the purpose
of obtaining greater compensation than that to which the provider is legally
entitled;
(c)
submitting or causing to be submitted false information for the purpose
of meeting prior approval status; and
(d)
submission of a false or fraudulent application for provider status.
(2) Failure to disclose
or make available to the department or its authorized agent records of services
provided to children’s medical services clients and records of payments for
those services.
(3) Failure to provide
and maintain quality services which meet professionally recognized standards of
care.
(4) Engaging in a course
of conduct or performing an act that is unreasonably improper or abusive of the
children’s medical services program, or continuing such conduct following
notification that said conduct should cease.
(5) Breach of the terms
of the provider agreement.
(6) Over utilizing the
children’s medical services program by inducing, furnishing or otherwise
causing a recipient to receive service(s) or merchandise substantially in
excess of the needs of the recipient.
(7) Rebating or accepting
a fee or portion of a fee or charge for a children’s medical services patient
referral.
(8) Violating any
provision of state or federal statutes or any rule or regulation promulgated
pursuant thereto.
(9) Violating any laws,
regulations, or code of ethics governing the conduct of occupations or
professions or regulated industries directly relating to children’s medical
services.
(10) Conviction of a
criminal offense relating to performance of a provider agreement with the state
or for negligent or abusive practice resulting in death or injury to patients.
(11) Failure to meet
standards required by state or federal law for participation, as a given type
of provider (e.g., licensure or certification).
(12) Soliciting,
charging, or accepting payments from recipients for services for which the
provider has billed the children’s medical services program.
(13) Failure to correct
deficiencies in provider operations within time limits specified by program
guidelines after receiving written notice of these deficiencies from the human services
department.
(14) Formal reprimand or
censure by a professional association of the provider’s peers for unethical
practices or malpractice.
(15) Suspension or
termination from participation in another governmental medical program such as,
but not limited to, worker’s compensation, medicaid,
rehabilitation services, and medicare.
(16) Indictment for
fraudulent billing practices, or negligent practice resulting in physical,
emotional or psychological injury or death to the provider’s patients.
(17) Failure to repay or
make arrangements for the repayment of identified overpayments or otherwise
erroneous payments.
H. Sanctions: One or more of the following sanctions may be
invoked against a provider:
(1) termination from
participation in the children’s medical services program;
(2) suspension of
participation in the children’s medical services program;
(3) suspension or
withholding of payments to a provider;
(4) referral to peer
review;
(5) one-hundred percent
review of the provider’s claims prior to payment; and
(6) referral to the
appropriate state licensing board or other appropriate authority for
investigation.
I. A provider
found by the division to have committed a violation shall be given notice and
an opportunity for hearing in accordance with this rule.
[7.30.3.12 NMAC - Rp, 7 NMAC 30.3.11, 10/30/12]
7.30.3.13 PROVIDER BILLING:
A. Providers must seek
payment from insurance, medicaid, and other sources,
if known, prior to billing the children’s medical services program. This includes billing the medicaid
program using the child’s recipient medicaid
identification number and not the CMS billing number.
B. Inpatient care shall be paid at the
negotiated per diem rate and under the term established by the provider
participation agreement. For other
services covered under the program; including approved inpatient days,
providers must agree to accept as payment in full the amounts established by
the division.
C. If a provider receives a payment
from a source other than the program which is equal to or exceeds the amount of
the program fee schedule for the authorized services rendered, the provider is
prohibited from seeking additional payment from either the client or the
division.
D. Providers must submit all bills to
the fiscal agent for payment on forms prescribed by the program and within the
billing time limits established by the program.
Unless the provider receives a waiver of the time limit from the program
manager and medical director, failure to comply with the time limits may result
in denial of claim. Providers may not
hold clients responsible for bills denied because of failure to meet time
limits. Providers must also follow all
billing instructions in submitting claims for payment to the fiscal agent. If claims are denied due to not following
instructions, providers may not hold clients responsible for payment of these
bills.
[7.30.3.13 NMAC - N, 10/30/12]
7.30.3.14 EXPENDITURE OF FUNDS:
A. Expenditure of
children’s medical services program funds are based on the availability of
funds, the eligibility of the client for services, and the receipt of prior
approval by the provider for the services, if required.
B. Emergency
services may be paid for if:
(1) the care coordinator
is notified of the services rendered and the necessity of the services before
the end of the fifth working day after the emergency expense is incurred; or
(2) the medical director
determines that the services were consistent with the service plan, if applicable,
are eligible for payment, and were rendered in an emergency.
C. Limit on yearly
expenditure of funds:
(1) children’s medical
services program shall not expend more than $15,000.00 per client per year for
medical management; or
(2) the CMS program
manager in concurrence with the medical director may raise the $15,000.00
financial limit to provide additional coverage for good cause when monies are
available.
D. Purchase of
services related to educational activities is excluded under these regulations.
E. Purchase of
services related to psychiatric disorders is excluded under these regulations
except for psychological problems specifically related to an eligible condition,
and with approval from the psychological consultant or medical director.
F. Children’s
medical services program shall be the last resource after other available
sources of payment, such as insurance, medicaid, tortfeasors, the UNM care plan,
and the NM department of education.
G. Children’s
medical services program shall not pay for any eligible services provided more
than five working days before the date of referral.
H. Clients who have
two or more other payor sources, such as insurance, medicare, or medicaid are not
eligible for payment by CMS.
[7.30.3.14 NMAC - Rp, 7 NMAC 30.3.12, 10/30/12]
7.30.3.15 OUT-OF-STATE PROVIDER POLICY: Services must be purchased within the state
of NM, unless the need to purchase services elsewhere is documented and
approved by the CMS medical director.
A. Services may be
purchased outside the state of NM when:
(1) the specific service
is not available in NM; or
(2) an eligible client is
temporarily out of state and does not qualify for medical assistance in the
state of temporary residence, and the health of the client would be endangered
if services were postponed until return to NM or by travel to NM; or
(3) excessive time,
distance, and expense would be involved in order to obtain outpatient services
in NM. Inpatient services are eligible
out of state if urgent or emergency hospitalization is needed when distance is
excessive or in-state tertiary centers are full.
B. Services may
not, under any circumstances, be purchased out of state without approval of the
medical director or designee.
C. Out-of-state
providers are subject to the same fee schedule, time limitations, standards,
and requirements, including operating under a provider agreement, as in-state
providers.
[7.30.3.15 NMAC - Rp, 7 NMAC 30.3.13, 10/30/12]
7.30.3.16 CONFIDENTIALITY: Information shall be released by the program
only as permissible per state and federal law.
[7.30.3.16 NMAC - Rp, 7 NMAC 30.3.14, 10/30/12]
7.30.3.17 NOTICE AND APPEALS PROCEDURE:
A. Record review. All applicants whose application for services
from CMS has been denied and all clients who have been denied requested
services by the program may request a record review from CMS.
B. Procedure for requesting informal
administrative review.
(1) The applicant or
client may submit a written request for a record review. To be effective, the written request shall:
(a)
be made within 30 calendar days, as determined by the postmark, from the
date of the notice of action issued by CMS;
(b)
be properly addressed to CMS;
(c)
state the applicant’s name, address, and telephone numbers; and
(d)
provide a brief narrative rebutting the circumstances of the denial.
(2) If the applicant or
client wishes to submit additional documentation for consideration, such
additional documentation must be included with the request for a record review.
C. Record review proceeding. The review proceeding is intended to be an
informal, non-adversarial administrative review of written documentation. It shall be conducted by an administrative
review committee designated for that purpose by CMS. In cases where the administrative review
committee finds the need for additional or clarifying information, the review
committee shall request that the applicant or client supply such additional information
within the time set forth in the committee’s request.
D. Final determination.
(1) Content: the administrative
review committee shall render, sign, and enter a written decision within 60 days
setting forth the reasons for the decision and the evidence upon which the
decision is based.
(2) Effect: the decision of the
administrative review committee is the final decision of the informal
administrative review proceeding.
(3) Notice: a copy of the
decision shall be mailed by registered or certified mail to the applicant.
E. Judicial review. Judicial review of the administrative review
committee’s final decision is permitted to the extent provided by law. The party requesting the appeal shall bear
the cost of such appeal.
[7.30.3.17 NMAC - Rp, 7 NMAC 30.3.15, 10/30/12]
7.30.3.18 ELIGIBLE
MEDICAL CONDITIONS: The division shall
periodically issue an index of conditions which identifies eligible medical
conditions. The index shall be reviewed
at least annually and revised as necessary.
Coverage may change dependent upon available funds. Coverage is provided subject to the further
guidelines in the index of children’s medical services eligible conditions and
treatment protocols. Conditions that are
similar in course and outcome to those in the index may be eligible pending
review by the medical director. The current index of children’s medical
services eligible conditions is attached hereto as attachment A.
[7.30.3.18 NMAC - Rp, 7 NMAC 30.3.19, 10/30/12]
7.30.3.19 PEDIATRIC
SUBSPECIALISTS: For children age 18
years and under with chronic, complex cardiac, endocrine, neurology, and
pulmonary conditions, the CMS program will authorize payment for consultation
and follow up services only to board certified pediatric subspecialists when
they are available within the state.
[7.30.3.19 NMAC - Rp, 7 NMAC 30.3.20, 10/30/12]
7.30.3.20 VOLUNTEERS: The children’s medical services program may
use volunteers as allowed by program, division, and department guidelines.
[7.30.3.20 NMAC - Rp, 7 NMAC 30.3.22, 10/30/12]
7.30.3.21 SEVERABILITY: If any part or application of the children’s
medical services program regulations is held invalid, the remainder, or its
application to other situations or persons, shall not be affected.
[7.30.3.21 NMAC - Rp, 7 NMAC 30.3.23, 10/30/12]
HISTORY OF 7.30.3 NMAC:
Pre-NMAC History: The material in this part was derived from
that previously filed with the State Records Center:
HSSD
76-5, Regulations Governing Crippled Children’s Services, 9/14/76.
HSSD
77-9, Regulations Governing Crippled Children’s Services, 12/5/77.
HED-79-7 (HSD), Regulations Governing the Crippled Children’s
Services Program, 1/11/80.
HED-81-1 (HSD), Regulations Governing the Crippled Children’s
Services Program, 4/17/81.
HED-82-9 (HSD), Regulations Governing the Children’s Medical
Services, 8/30/82.
HED
86-8 (HSD), Regulations Governing the Children’s Medical Services, 7/18/86.
HED-81-8 (HSD), Regulations Governing the Adult Cystic
Fibrosis Program, 11/17/81.
History of
Repealed Material:
7 NMAC 30.3, Children’s Medical
Services and Adult Cystic Fibrosis, filed 10/18/1996 - Repealed effective
10/30/2012.