TITLE 8 SOCIAL SERVICES
CHAPTER 292 MEDICAID ELIGIBILITY - PARENT CARETAKER
PART 500 INCOME
AND RESOURCE STANDARDS
8.292.500.1 ISSUING AGENCY: New Mexico Health Care Authority.
[8.292.500.1 NMAC - Rp, 8.292.500.1
NMAC, 1/1/2014; A, 7/1/2024]
8.292.500.2 SCOPE: The rule applies to the general public.
[8.292.500.2 NMAC - Rp, 8.292.500.2
NMAC, 1/1/2014]
8.292.500.3 STATUTORY AUTHORITY: The New Mexico medicaid program is 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 27-1-12 et seq. NMSA 1978. Section 9-8-1 et seq. NMSA 1978 establishes the health care authority (HCA) as a single, unified department to administer laws and exercise functions relating to health care facility licensure and health care purchasing and regulation.
[8.292.500.3
NMAC - Rp, 8.292.500.3 NMAC, 1/1/2014; A, 7/1/2024]
8.292.500.4 DURATION: Permanent.
[8.292.500.4 NMAC - Rp, 8.292.500.4
NMAC, 1/1/2014]
8.292.500.5 EFFECTIVE DATE: January 1, 2014, unless a later date is cited
at the end of a section.
[8.292.500.5 NMAC - Rp, 8.292.500.5
NMAC, 1/1/2014]
8.292.500.6 OBJECTIVE: The objective of this rule is to
provide eligibility guidelines when determining eligibility for the medical assistance division (MAD) medicaid program and other health care programs it
administers. Processes for establishing
and maintaining this category of eligibility are found in the affordable care
general provision chapter located at 8.291.400 NMAC through 8.291.430 NMAC.
[8.292.500.6 NMAC - Rp, 8.292.500.6
NMAC, 1/1/2014]
8.292.500.7 DEFINITIONS:
Refer to 8.291.400.7 NMAC.
[8.292.500.7 NMAC - Rp, 8.292.500.7
NMAC, 1/1/2014]
8.292.500.8 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.
[8.292.500.8 NMAC - Rp, 8.292.500.8
NMAC, 1/1/2014; A, 1/1/2022]
8.292.500.9 RESOURCE STANDARDS: There
are no resource standards for this category of eligibility.
[8.292.500.9 NMAC - Rp, 8.292.500.9
NMAC, 1/1/2014]
8.292.500.10 INCOME STANDARD:
A. Financial
eligibility: An individual's financial
eligibility is based on the rules in this chapter and 8.291.430.11 NMAC.
B. Income
test: In order to become eligible for parent
caretaker medicaid, the total countable income of the
budget group must be less than the income standard for parent caretaker
eligibility at 8.291.430 NMAC.
[8.292.500.10 NMAC - Rp,
8.292.500.10 NMAC, 1/1/2014]
8.292.500.11 AVAILABLE INCOME: Determination of eligibility for the assistance unit is made by considering income that is available to the assistance unit and budget group. The amount of countable income is determined pursuant to 8.291.430 NMAC.
[8.292.500.11 NMAC - Rp,
8.292.500.11 NMAC, 1/1/2014]
8.292.500.12 INCOME ELIGIBILITY: Income
methodology is based on modified adjusted gross income (MAGI) in accordance
with 42 Code of Federal Regulations (CFR) 435.603. Per 42 CFR 435.603(h)(2) HSD bases financial
eligibility on current monthly household income and family size. Current monthly household income is defined
as a 30-day period. If an amount
of income is received less frequently than monthly, that amount is converted by
dividing the total income by the number of months the income is intended to
cover.
[8.292.500.12 NMAC - Rp,
8.292.500.12 NMAC, 1/1/2014; A, 1/1/2022]
8.292.500.13 DISREGARDS: Once a MAGI is calculated, no disregard will be given unless the individual is in receipt of medicare or has reached the age of 65, in which case the household will receive an income disregard in accordance with 8.291.430 NMAC.
[8.292.500.13 NMAC - Rp,
8.292.500.13 NMAC, 1/1/2014]
HISTORY OF 8.292.500 NMAC:
History of Repealed
Material:
8.292.500 NMAC,
Income and Resource Standards, filed 9/17/2013 - Duration expired 12/31/2013.