TITLE 8 SOCIAL SERVICES

CHAPTER 299 MEDICAID ELIGIBILITY - FAMILY PLANNING SERVICES

PART 600 BENEFIT DESCRIPTION

8.299.600.1 ISSUING AGENCY: New Mexico Health Care Authority.

[8.299.600.1 NMAC – Rp, 8.299.600.1 NMAC, 1/1/2019; A, 7/1/2024]

8.299.600.2 SCOPE: The rule applies to the general public.

[8.299.600.2 NMAC - Rp, 8.299.600.2 NMAC, 1/1/2019]

8.299.600.3 STATUTORY AUTHORITY: The New Mexico medicaid program and other health care programs are 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.

[8.299.600.3 NMAC - Rp, 8.299.600.3 NMAC, 1/1/2019; A, 7/1/2024]

8.299.600.4 DURATION: Permanent.

[8.299.600.4 NMAC - Rp, 8.299.600.4 NMAC, 1/1/2019]

8.299.600.5 EFFECTIVE DATE: January 1, 2019, or upon a later approval date by the federal centers for medicare and medicaid services (CMS), unless a later date is cited at the end of the section.

[8.299.600.5 NMAC - Rp, 8.299.600.5 NMAC, 1/1/2019]

8.299.600.6 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.

[8.299.600.6 NMAC - Rp, 8.299.600.6 NMAC, 1/1/2019]

8.299.600.7 DEFINITIONS: [RESERVED]

8.299.600.8 [RESERVED]

8.299.600.9 BENEFIT DESCRIPTION: This category provides a limited range of medicaid-covered services for family planning and family planning-related services for both men and women.

[8.299.600.9 NMAC - Rp, 8.299.600.9 NMAC, 1/1/2019]

8.299.600.10 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. Retroactive medicaid coverage is provided in accordance with 8.200.400.14 NMAC.

[8.299.600.10 NMAC - Rp, 8.299.600.10 NMAC, 1/1/2019]

8.299.600.11 PERIODIC REDETERMINATIONS OF ELIGIBILITY:

A. A redetermination of eligibility is conducted in accordance with 8.291.410 NMAC.

B. All changes that may affect eligibility must be reported within 10 calendar days of the date of the change as detailed in 8.291.400 NMAC.

[8.299.600.11 NMAC - Rp, 8.299.600.11 NMAC, 1/1/2019]

HISTORY OF 8.299.600 NMAC: [RESERVED]

History of Repealed Material:

8.299.600 NMAC - Benefit Description, filed 9/14/2017 - Repealed effective 1/1/2019.