TITLE 8 SOCIAL SERVICES

CHAPTER 299 MEDICAID ELIGIBILITY - FAMILY PLANNING SERVICES

PART 500 INCOME AND RESOURCE STANDARDS

8.299.500.1 ISSUING AGENCY: New Mexico Health Care Authority.

[8.299.500.1 NMAC - N, 10/1/2017; A, 7/1/2024]

8.299.500.2 SCOPE: The rule applies to the general public.

[8.299.500.2 NMAC - N, 10/1/2017]

8.299.500.3 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.

[8.299.500.3 NMAC - N, 10/1/2017; A, 7/1/2024]

8.299.500.4 DURATION: Permanent.

[8.299.500.4 NMAC - N, 10/1/2017]

8.299.500.5 EFFECTIVE DATE: October 1, 2017, unless a later date is cited at the end of a section.

[8.299.500.5 NMAC - N, 10/1/2017]

8.299.500.6 OBJECTIVE: The objective of this rule is to provide specific instructions when determining eligibility for the medicaid program and other health care programs. 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.

[8.299.500.6 NMAC - N, 10/1/2017]

8.299.500.7 DEFINITIONS: [RESERVED]

8.299.500.8 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.

[8.299.500.8 NMAC - N, 10/1/2017; A, 1/1/2022]

8.299.500.9 RESOURCE STANDARDS: Resources are not an eligibility factor for this category of eligibility.

[8.299.500.9 NMAC - N, 10/1/2017]

8.299.500.10 INCOME STANDARD: In order to become eligible for family planning medicaid, the total countable income of the budget group must be less than two hundred fifty percent of the federal poverty guidelines found at 8.291.430 NMAC.

[8.299.500.10 NMAC - N, 10/1/2017]

8.299.500.11 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.

[8.299.500.10 NMAC - N, 10/1/2017; A, 1/1/2022]

8.299.500.12 DISREGARD: An income disregard according to 8.291.430 NMAC will be given only to individuals whose countable modified adjusted gross income (MAGI) is at or above two hundred fifty percent of the federal poverty level for the size of the budget group.

[8.299.500.10 NMAC - N, 10/1/2017]

HISTORY OF 8.299.500 NMAC: [RESERVED]