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Public Notices, Proposed Waiver Changes and Opportunities to Comment

 

Comment Period Closed - 2016

Date Topic
12/29/2016

Proposed Centennial Care Policy Manual Amendments

The comment period for Section 04 Care Coordination has been extended to February 20, 2017

  • Notice of Opportunity to Comment
  • Section 02 Provider Network
  • Section 04 Care Coordination
  • Section 05 Transitions of Care
  • Section 07 Community Benefit
  • Section 08 Agency Based Community Benefit
  • Section 09 Self-Directed Community Benefit
  • Section 13 Alternative Benefit Package
  • Section 14 School-Based Health Centers
  • Section 17 Managed Care Reporting
  • Section 17 Managed Care Reportig – Appendix Q
12/29/2016  

Proposed Developmental Disabilities 1915 (c) Home and Community-Based Services Waiver Renewal

  • Notice of Opportunity to Comment
  • Draft DDW Renewal Application
  • Public Comments on DDW Renewal Application
12/15/2016

 Mi Via 1915 (c) Home and Community-Based Services Waiver Amendment

  •  Notice of Opportunity to Comment
  • Draft Mi Via Waiver Amendment Application
  • Mi Via Amendment Public Comments
11/30/2016

 8.308.12 NMAC Managed Care Program - Community Benefit

  • Notice of Rulemaking
  • Proposed Register – 8.308.12 Vol. 39 No. 19
  • Rule – 8.308.12 NMAC
8/25/2016

Proposed New Mexico Medicaid Access Monitoring Review Plan for Fee-For-Service Recipients

  • Notice of Opportunity to Comment
  • Proposed New Mexico Medicaid Access Monitoring Review Plan for Fee-For-Service Recipients
  • Federal Register – 42 CFR 447.203
8/19/2016

Proposed Medicaid Home and Community Based Services Settings Statewide Transition Plan Amendment

  • Notice of Opportunity to Comment
  • Proposed Medicaid Home and Community Based Services Settings Statewide Transition Plan Amendment
6/30/2016

 Managed Care Policy Manual

  • Notice of Opportunity to Comment
  • Section 03 Member Education
  • Section 04 Care Coordination
  • Section 11 Marketing
  • Section 12 Patient Centered Initiatives
  • Section 14 School Based Health Centers
  • Section 17 Managed Care Reports
5/31/2016  8.308.20 NMAC Managed Care Program – Reimbursement
  • Notice of Rulemaking
  • Proposed Register – 8.308.20 Vol. 39 No. 13
  • Rule – 8.308.20 NMAC
5/13/2016  Proposed Medically Fragile 1915 (c) Waiver  Renewal Application
  • Notice of Opportunity to Comment 
  • Proposed Medically Fragile Waiver Renewal Application
  • Public Comments – MF Waiver Renewal
4/30/2016  8.312.2 NMAC Nursing Facilities & 8.312.3 Cost Related Reimbursement of
 Nursing Facilities
  • Notice of Rulemaking
  • Proposed Register – 8.312.2 & 8.312.3 Vol. 39  No. 12
  • Rule – 8.312.2 NMAC
  • Rule – 8.312.3 NMAC
4/30/2016  8.311.2 NMAC Hospital Services
  • Notice of Rulemaking
  • Proposed Register – 8.311.2  Vol. 39 No. 11
  • Rule – 8.311.2 NMAC
4/30/2016  8.308.7 NMAC Managed Care Programs Enrollment and Disenrollment
  • Notice of Rulemaking
  • Proposed Register – 8.308.7 Vol. 39 No. 10
  • Rule – 8.308.7 NMAC
4/30/2016   8.290.500 NMAC Income and Resource Standards
  • Notice of Rulemaking
  • Proposed Register – 8.290.500 Vol. 39 No. 8
  • Rule – 8.290.500 NMAC
4/29/2016  Notice of Opportunity to Comment – Proposal to Reduce Medicaid Provider Rates
  • Public comment on Supplement 16-01
  • 16-01 Notice of Proposed Reductions to the Medicaid Fee Schedule and Other Medicaid Payment Reductions
  • 16-03 Notice of Final Reductions to the Medicaid Fee Schedule and Other Medicaid Payment Reductions - Effective July 1, 2016
  • 16-07 Notice of Final Reductions to the Medicaid Fee Schedule -Effective August 1, 2016
  • Notice of Opportunity to Comment – Proposal to Reduce Medicaid Provider Rates
  • Proposed SPA 16-004 – Terminate Primary Care Provider (PCP) Enhanced Payments
  • Proposed SPA 16-005 – Outpatient Hospital Reimbursement
  • Proposed SPA 16-006 – Inpatient Hospital Reimbursement
  • Proposed SPA 16-007 – Practitioner and Dental Reimbursement
4/15/2016  Notice of Opportunity to Comment – Medicaid Eligibility – Infants of Mothers
 Who Are Medicaid Eligible (Category 031)
  • Notice of Rulemaking
  • Proposed Register – Vol. 39 No. 5
  • Rule – 8.231.400 NMAC
  • Rule – 8.231.500 NMAC
  • Rule – 8.231.600 NMAC
4/1/2016  Notice of Opportunity to Comment – Emergency Rules
 8.200.520 NMAC Medicaid Eligibility – General Recipient Rules
 8.291.430 NMAC Medicaid Eligibility – Affordable Care
  • Proposed Register – Vol. 39 No.
  • Rule – 8.200.520 NMAC
  • Rule – 8.291.430 NMAC
3/31/2016

 8.308.10 NMAC Managed Care Program – Care Coordination

  • Notice of Rulemaking – 8.308.10
  • Proposed Register – 8.308.10 Vol. 39 Register #6
  • Proposed Rule – 8.308.10
3/15/2016  8.311.3 NMAC Hospital Services – Methods and Standards for Establishing  
 Payment – Inpatient Hospital Services
  • Notice of Rulemaking – 8.311.3
  • Proposed Register – 8.311.3 Vol. 39 Register #7
  • Proposed Rule – 8.311.3
3/10/2016  State Plan Amendment 16-02 Alternative Payment Methodology for FQHCs

 Notice of Opportunity to Comment

1/11/2016

Notice of Opportunity to Comment - Centennial Care Policy Manual

- Section 03 Member Education

- Section 04 Care Coordination

- Section 06 Nursing Facility Level of Care Determination

- Section 07 Community Benefit

- Section 08 Agency Based Community Benefit

- Section 09 Self-Directed Community Benefit

- Section 21 Quality

1/29/2016

 State Plan Amendment (SPA) 16-01 Pharmacy Dispensing Fee

 Notice of Opportunity to Comment

1/23/2016

 Notice of Opportunity to Comment - Proposed Health Home (CareLink NM) Policy
 Manual

- Draft CareLink NM Policy Manual

- Draft CarelInk NM Plan Template

Our Strategic Goals:

Goal 1: Promote Self-Sufficiency of Our Recipients

Goal 2: Slow the Growth Rate of Health Care Costs and Improve Health Outcomes

Goal 3: Implement Person-Centric Service Models.

Goal 4: Improve Administrative Effectiveness and Simplicity

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