Human Services Department
Follow Us On Twitter Follow Us On Facebook
  • Home
  • About Us
  • Centennial Care
  • Communications and Public Information
  • Contact Us
  • theWire-Employees Only
  • Looking For Assistance
  • Looking For Information
  • Providers
  • Newsroom
  • Looking For Information Overview
  • Emergency Information
  • Information for Recipients
    • Americans with Disabilities Act
    • Eligibility Guidelines
      • Citizenship Requirements
      • Earned Income Tax Credit
      • Income and Resource Guidelines (FPLs)
      • State Verification Plan
    • Health Care
      • Alternative Benefit Plan vs. State Plan Comparison Chart
      • Centennial Care (CURRENT)
        • Centennial Care Overview
        • Centennial Care Rewards
        • How to Switch MCOs
        • New Mexico Independent Consumer Support System (NMICSS)
        • Value Added Services
      • Centennial Care 2.0 (PROPOSED)
      • Cost Sharing Chart
      • Health Care Reform
      • Dental Care Information
      • Managed Care Organizations
    • (HIPAA) Recipient Privacy and Confidentiality
    • Resources
      • Forms
      • Glossary of Acronyms/Abbreviations
      • Sites of Interest
    • Special Programs and Waivers
      • Brain Injury Services Fund
        • Overview
        • Additional Programs for Medicaid Eligible
        • Education and Training Opportunities
        • Resources, Materials and Links
        • Providers - Crtical Incident Report Form
      • Family Infant and Toddlers (FIT)
      • Home and Community Based Waivers
        • Developmentally Disabled
        • Medically Fragile
        • Mi Via
      • Intermediate Care Facility (ICF/IID)
      • Keeping Kids Healthy
      • Program of All-Inclusive Care for the Elderly (PACE)
      • Pre-Admission Screening and Resident Review (PASRR)
      • School Based Health Centers
  • General Information
    • Contracts
      • Behavioral Health Services Division
      • Child Support Enforcement Division
      • Income Support Division
      • Medical Assistance Division
    • Policy Manuals
      • Managed Care Policy Manual
    • Procedures
      • General Information (GIs)
      • Interim Policies and Procedures (IPPs)
      • Manual Revision Memos (MRs)
    • Requests for Proposals (RFPs)
      • Open RFPs
      • Closed RFPs
      • RFPs - CLOSED (under construction)
    • Rules and Statutes (NMAC)
      • Child Support Enforcement Division
      • Income Support Division
      • Medical Assistance Division
    • Registers/ Rule Changes
      • Child Support Enforcement Division Registers
      • Income Support Division Registers
      • Medical Assistance Division Registers
    • State Plans and Reports
      • Centennial Care
        • Centennial Care Evaluation Design
        • Centennial Care Evaluation Interim Report
      • Center for Medicare and Medicaid Services 416
      • Consumer Assessment of Healthcare Providers & Systems (CAHPS) Reports
      • CMS Home and Community Based Services Final Rule
      • External Quality Review Organization
      • Healthcare Effectiveness Data and Information Set
      • Income Support Division Plans and Reports
      • Medicaid Eligibility Reports
      • Monthly Statistical Reports
      • Medical Assistance Division State Plan
      • NM Medicaid Access Monitoring Review Plan
      • Mental Health Parity Report for Medicaid Managed Care in NM
        • 2017 Report
        • 2018 Report (Revised)
 
 

 

Medical Assistance Division Registers

The rule numbers can be looked up on the NM Administrative Code (NMAC) website

Proposed Registers 2019 - Volume 42

Register Number

Rule Numbers NM Administrative Code Policy Topic Date
1

8.314.3

 Long Term Care Services - Waivers

  • Medically Fragile Home and Community-Based Services, Waiver Services
  • Regulatory Impact Form
 January   27, 2019

Final Registers 2018 -Volume 41

Register Number

Rule Numbers NM Administrative Code Policy Topic Date
3

 

8.200.510

8.215.500

8.240.500

8.281.400

8.281.500

8.290.400

 Medicaid Eligibility – Social Services

  • General Recipient Rules-Resource Standards
  • SSI Methodology-Income and Resource Standards
  • QMB-Income and Resource Standards
  • Institutional Care-Recipient Policies
  • Institutional Care-Income and Resource Standards
  • Home and Community-Based Services Waiver-Recipient Policies
 February   27,   2018
 

8.281.510

8.290.600

 Medicaid Eligibility – Social Services

  • Institutional Care-Trust Standards
  • Home and Community-Based Services Waiver-Benefit Description
 February 27,   2018
5 8.314.3

 Long Term Care Services - Waivers

  • Medically Fragile Home and Community-Based Services Waiver

 February 27,   2018

  8.310.10

 Health Care Professionals Services

  • Health Home Services
 April 24, 2018
10

8.302.3

8.308.2

8.308.6

8.308.7

8.308.8

8.308.9

8.308.10

8.308.11

8.308.13

8.308.15

8.308.21

 Medicaid General Provider Policies

  • Third Party Liability Provider Responsibilities

 Managed Care Program

  • Provider Network
  • Eligibility
  • Enrollment and Disenrollment
  • Member Rights, Responsibilities     and Education
  • Benefit Package
  • Care Coordination
  • Transition of Care
  • Member Rewards
  • Grievances and Appeals
  • Quality Management
 April 24, 2018
19

8.200.410

 Medicaid Eligibility - General Recipient Rules

  • General Recipient Requirements
 July 24, 2018
21

8.200.520

8.291.430

 Medicaid Eligibility - General Recipient Policies

  • General Recipient Policies, Income Standards
  • Affordable Care, Financial Responsibility Requirements
 January 30,   2018
24

8.200.520

8.291.430

 Medicaid Eligibility – General Recipient Rules

  • Income Standards
  • 8.200.520 Transmittal Form

 Medicaid Eligibility – Affordable Care

  • Financial Responsibility Requirements
  • 8.291.430 Transmittal Form
 September   11, 2018
33 8.314.5

 Long Term Care Services – Waivers

  • Developmental Disabilities Home and Community-Based Services Waiver
  • 8.314.5 Transmittal Form

 November   27, 2018

34 8.314.6

 Long Term Care Services – Waivers

  • Mi Via Home and Community-Based Services Waiver
  • 8.314.6 Transmittal Form

 November 1,   2018
35

 

8.308.6

 

8.308.7

 

8.308.9

 

8.308.10

 

8.308.12

 Managed Care Program

  • Managed Care Organization (MCO) Enrollment
  • 8.308.6 NMAC – Transmittal Form
  • Enrollment and Disenrollment
  • 8.308.7 NMAC – Transmittal Form
  • Benefit Package
  • 8.308.9 NMAC – Transmittal Form
  • Care Coordination
  • 8.308.10 NMAC – Transmittal Form
  • Community Benefit
  • 8.308.12 NMAC – Transmittal Form
 December   11, 2018
37 8.200.510

 Medicaid Eligibility – General Recipient Policies

  • Resource Standards
  • 8.200.510 Transmittal Sheet

 December   11, 2018
38

8.201.400

 

 

8.215.400

 

 

8.281.400

 Medicaid Eligibility – Medicaid Extension (Category 001, 003   and 004)

  • Recipient Policies
  • 8.201.400 Transmittal Sheet

 Medicaid Eligibility – Supplemental Security Income (SSI)   Methodology

  • Recipient Policies
  • 8.215.400 Transmittal Sheet

 Medicaid Eligibility – Institutional Care (Categories 081, 083 and   084)

  • Recipient Policies
  • 8.281.400 Transmittal Sheet

 December   27, 2018
41 8.311.3

Hospital Services

  • Methods and Standards for Establishing Payment – Inpatient Hospital Services
  • 8.311.3 Transmittal Sheet

December   27, 2018
42 8.200.400

 Medicaid Eligibility – General Recipient Rules:

  • General Medicaid Eligibility
  • 8.200.400 Transmittal Sheet

 December   27, 2018
8.201.600

 Medicaid Eligibility – Medicaid Extension (Category 01, 03 and   04):

  • Benefit Description
  • 8.201.600 Transmittal Sheet
8.215.600  Medicaid Eligibility – Supplemental Security Income (SSI)   Methodology:
  • Benefit Description
  • 8.215.600 Transmittal Sheet

8.231.600

 Medicaid Eligibility – Infants of Mothers who are Medicaid   or Medical Assistance Program Eligible:

  • Benefit Description
  • 8.231.600 Transmittal Sheet
8.242.600  Medical Assistance Program Eligibility – Qualified Disabled   Individuals Whose Income Exceeds QMB and SLIMB:
  • Benefit Description
  • 8.242.600 Transmittal Sheet

 

8.243.400

 

8.243.600

 Medicaid Eligibility – Working Disabled Individuals (WDI)   (Category 043):

  • Recipient Policies
  • 8.243.400 Transmittal Sheet
  • Benefit Description
  • 8.243.600 Transmittal Sheet

8.245.600

 Medicaid Eligibility – Specified Low Income Medicare   Beneficiaries (SLIMB) (Category 045):

  • Benefit Description
  • 8.245.600 Transmittal Sheet

8.249.600

 Medical Assistance Program Eligibility – Refugee Medical   Assistance (RMA) Program:

  • Benefit Description
  • 8.249.600 Transmittal Sheet

8.250.600

 Medicaid Eligibility – Qualified Individuals Whose Income   Exceeds QMB and SLIMB (Category 045):
  • Benefit Description
  • 8.250.600 Transmittal Sheet

8.252.600

 Medical Assistance Program Eligibility – Breast and Cervical   Cancer Program:

  • Benefit Description
  • 8.252.600 Transmittal Sheet

 

8.280.400

 

8.280.600

 Medicaid Eligibility – Program of All Inclusive Care for the   Elderly (PACE):

  • Recipient Policies
  • 8.280.400 Transmittal Sheet
  • Benefit Description
  • 8.280.600 Transmittal Sheet

8.281.600

 Medicaid Eligibility – Institutional Care (Categories 081, 083   and 084):

  • Benefit Description
  • 8.281.600 Transmittal Sheet

8.290.400

 

8.290.600

 Medicaid Eligibility – Home and Community-Based Services   Waiver (Categories 090, 091, 092, 093, 094, 095 and 096):
  • Recipient Policies
  • 8.290.400 Transmittal Sheet
  • Benefit Description
  • 8.290.600 Transmittal Sheet
8.292.600

 Medicaid Eligibility – Parent Caretaker:

  • Benefit Description
  • 8.292.600 Transmittal Sheet
8.293.600  Medicaid Eligibility – Pregnant Women:
  • Benefit Description
  • 8.293.600 Transmittal Sheet
8.294.600  Medicaid Eligibility – Pregnancy-Related Services:
  • Benefit Description
  • 8.294.600 Transmittal Sheet
8.295.600  Medicaid Eligibility – Children Under 19:
  • Benefit Description
  • 8.295.600 Transmittal Sheet

 

8.296.400

 

8.296.600

Medicaid Eligibility – Other Adults:

  • Recipient Requirements
  • 8.296.400 Transmittal Sheet
  • Benefit Description
  • 8.296.600 Transmittal Sheet

 

8.297.400

 

8.297.600

Medicaid Eligibility – Loss of Parent Caretaker Medicaid Due to Spousal Support:

  • Recipient Requirements
  • 8.297.400 Transmittal Sheet
  • Benefit Description
  • 8.297.600 Transmittal Sheet

 

8.298.400

 

8.298.600

 Medicaid Eligibility – Loss of Parent Caretaker Medicaid Due to   Earnings from Employment:

  • Recipient Requirements
  • 8.298.400 Transmittal Sheet
  • Benefit Description
  • 8.298.600 Transmittal Sheet

 

8.299.400

 

8.299.600

 Medicaid Eligibility – Family Planning Services:

  • Recipient Requirements
  • 8.299.400 Transmittal Sheet
  • Benefit Description
  • 8.299.600 Transmittal Sheet
8.302.2

 Medicaid General Provider Policies:

  • Billing for Medicaid Services
  • 8.302.2 Transmittal Sheet

 

Final Registers 2017 -Volume 40

 

Register Number

 

Rule Numbers NM Administrative Code Policy Topic Date
1

8.200.510

8.200.520

Medicaid Eligibility - General Recipient Policies

  • Resource Standards
  • Income Standards

 

February 28, 2017
2  

 

8.308.12

 

Managed Care Program

  • Community Benefit

 

February 28, 2017
10

8.308.14

 

8.302.2

Medicaid Care Program

  • Co-Payments
  • HSD-MAD Notice of Correction 8.308.14
  • 8.308.14 Transmittal

Medicaid General Provider Policies

  • Billing for Medicaid Services
  • 8.302.2 Transmittal
October 31, 2017
12

8.200.400

8.200.410

8.200.430

 

 

 

8.231.400

8.231.500

8.231.600

 

8.291.400

8.291.410

 

8.293.400

 

 

8.294.400

 

 

 

Medicaid Eligibility - General Recipient Rules:

  • General Medicaid Eligibility
  • 8.200.400 Transmittal
  • General Recipient Requirements
  • 8.200.410 Transmittal
  • Recipient Rights and Responsibilities
  • 8.200.430 Transmittal

Medicaid Eligibility - Infants of Mother who are Medicaid Eligible (Category 031):

  • Recipient Policies
  • 8.231.400 Transmittal
  • Income and Resource Standards
  • 8.231.500 Transmittal
  • Benefit Description
  • 8.231.600 Transmittal

Medicaid Eligibility - Affordable Care

  • Eligibility Requirements
  • 8.291.400 Transmittal
  • General Recipient Requirements
  • 8.291.410 Transmittal

Medicaid Eligibility - Pregnant Women

  • Recipient Requirements
  • 8.293.400 Transmittal

Medicaid Eligibility - Pregnancy-Related Services:

  • Recipient Requirements
  • 8.294.400 Transmittal

 

 

 

 

September 26, 2017
17

 

8.299.400

8.299.500

8.299.600

Medicaid Eligibility - Family Planning Services

  • Recipient Requirements
  • 8.299.400 Transmittal
  • Income and Resource Standards
  • 8.299.500 Transmittal
  • Benefit Description
  • 8.299.600 Transmittal
September 26, 2017
30 8.311.3
  • Methods and Standards for Establishing Payment-Inpatient Hospital Services
  • 8.311.3 Transmittal
December 26, 2017

 

Proposed Registers 2018 - Volume 41

Register Number

Rule Numbers NM Administrative Code Policy Topic Date
33

8.310.10

                Health Home Service

 

January 19, 2018
9 8.200.410

 Medicaid Eligibility - General Recipient Rules

  • General Recipient Requirements
April 24, 2018
13

8.200.520

8.291.430

 Medicaid Eligibility – General Recipient Rule

  • Income Standards

 Medicaid Eligibility – Affordable Care

  • Financial Responsibility Requirements
May 24, 2018
14 8.314.6

 Long Term Care Services – Waivers

  • Mi Via Home and Community-Based  Services Waiver
May 24, 2018
21 8.311.3

 Hospital Services

  • Methods and Standards for Establishing Payment – Inpatient Hospital Services
August 14, 2018

22

  8.314.5

 Long Term Care Services - Waivers

  • Developmental Disabilities Home and Community - Based Services Waiver 

August 14, 2018
23

8.308.6

8.308.7

8.308.9

8.308.10

8.308.12

 Managed Care Program

  • Managed Care Organization (MCO) Enrollment
  • Enrollment and Disenrollment
  • Benefit Package
  • Care Coordination
  • Community Benefit

August 28, 2018
26 8.200.510

 Medicaid Eligibility – General Recipient Policies

  • Resource Standards

September 11, 2018
27
8.200.400

Medicaid Eligibility – General Recipient Rules:

*The comment period has been extended to November 1, 2018.

  • General Medicaid Eligibility
 September   27, 2018
8.201.600

Medicaid Eligibility – Medicaid Extension (Category 01, 03 and 04):

*The comment period has been extended to November 1, 2018.

  • Benefit Description
8.215.600

Medicaid Eligibility – Supplemental Security Income (SSI) Methodology:

*The comment period has been extended to November 1, 2018.

  • Benefit Description

8.231.600

Medicaid Eligibility – Infants of Mothers who are Medicaid or Medical Assistance Program Eligible:

*The comment period has been extended to November 1, 2018.

  • Benefit Description

8.242.600

Medical Assistance Program Eligibility – Qualified Disabled Individuals Whose Income Exceeds QMB and SLIMB:

*The comment period has been extended to November 1, 2018.

  • Benefit Description

8.243.400

8.243.600

Medicaid Eligibility – Working Disabled Individuals (WDI) (Category 043):

*The comment period has been extended to November 1, 2018.

  • Recipient Policies
  • Benefit Description

8.245.600

Medicaid Eligibility – Specified Low Income Medicare Beneficiaries (SLIMB) (Category 045):

*The comment period has been extended to November 1, 2018.

  • Benefit Description

8.249.600

Medical Assistance Program Eligibility – Refugee Medical Assistance (RMA) Program:

*The comment period has been extended to November 1, 2018.

  • Benefit Description

8.250.600

Medicaid Eligibility – Qualified Individuals Whose Income Exceeds QMB and SLIMB (Category 045):

*The comment period has been extended to November 1, 2018.

  • Benefit Description

8.252.600

Medical Assistance Program Eligibility – Breast and Cervical Cancer Program:

*The comment period has been extended to November 1, 2018.

  • Benefit Description

8.280.400

8.280.600

Medicaid Eligibility – Program of All Inclusive Care for the Elderly (PACE):

*The comment period has been extended to November 1, 2018.

  • Recipient Policies
  • Benefit Description

8.281.600

Medicaid Eligibility – Institutional Care (Categories 081, 083 and 084):

*The comment period has been extended to November 1, 2018.

  • Benefit Description

8.290.400

8.290.600

Medicaid Eligibility – Home and Community-Based Services Waiver (Categories 090, 091, 092, 093, 094, 095 and 096):

*The comment period has been extended to November 1, 2018.

  • Recipient Policies
  • Benefit Description

8.292.600

Medicaid Eligibility – Parent Caretaker:

*The comment period has been extended to November 1, 2018.

  • Benefit Description

8.293.600

Medicaid Eligibility – Pregnant Women:

*The comment period has been extended to November 1, 2018.

  • Benefit Description

8.294.600

Medicaid Eligibility – Pregnancy-Related Services:

*The comment period has been extended to November 1, 2018.

  • Benefit Description

8.295.600

Medicaid Eligibility – Children Under 19:

*The comment period has been extended to November 1, 2018.

  • Benefit Description

8.296.400

8.296.600

Medicaid Eligibility – Other Adults:

*The comment period has been extended to November 1, 2018.

  • Recipient Requirements
  • Benefit Description

8.297.400

8.297.600

Medicaid Eligibility – Loss of Parent Caretaker Medicaid Due to Spousal Support:

*The comment period has been extended to November 1, 2018.

  • Recipient Requirements
  • Benefit Description

8.298.400

8.298.600

Medicaid Eligibility – Loss of Parent Caretaker Medicaid Due to Earnings from Employment:

*The comment period has been extended to November 1, 2018.

  • Recipient Requirements
  • Benefit Description

8.299.400

8.299.600

Medicaid Eligibility – Family Planning Services:

*The comment period has been extended to November 1, 2018.

  • Recipient Requirements
  • Benefit Description
8.302.2

Medicaid General Provider Policies:

*The comment period has been extended to November 1, 2018.

  • Billing for Medicaid Services
30

 

8.201.400

 

Medicaid Eligibility – Medicaid Extension Categories

  • Recipient Policies

October 16, 2018

8.215.400

Medicaid Eligibility – Supplemental Secuirty Income (SSI) Methodology

  • Recipient Policies

8.281.400

Medicaid Eligibility – Institutional Care

  • Recipient Policies

 

Proposed Registers 2017 -Volume 40

 

Register Number

 

Rule Numbers NM Administrative Code Policy Topic Date
6 8.311.3 Methods and Standards for Establishing Payment - Inpatient Hospital Services April 25, 2017
   7             

 

8.299.400

8.299.500

 8 .299.600

Family Planning Services -

Recipient Requirements

Income and Resource Standards

Benefit  Description   

April  25, 2017
10

 8.302.2

8.308.14

Medicaid General Provider Policies, Billing for Medicaid Services

Managed Care Program, Cost Sharing
June 13, 2017
12

8.200.400

8.200.410

8.200.430

 

 8.231.400

8.231.500

8.231.600

 

8.291.400

8.291.410

 

8.293.400

8.294.400

 

 

 

 

Medicaid Eligibility - General Recipient Rules:

  • General Recipient Requirements
  • Recipient Rights and Responsibilities

Medicaid Eligibility – Infants of Mothers who are Medicaid Eligible (Category 031):

  • Recipient Policies
  • Income and Resource Standards
  • Benefit Description

 

Medicaid Eligibility – Affordable Care:

  • Eligibility Requirements
  • General Recipient Requirements

Medicaid Eligibility – Pregnant Women:

  • Recipient Requirements

Medicaid Eligibility – Pregnancy-Related Services:

  • Recipient Requirements  

 

 

 

 

June 13, 2017
20 8.314.3 Long Term Care Services - Waivers, Medically Fragile Home and Community-Based Services, Waiver Services September 12, 2017
21

8.200.520

8.291.430

Medicaid Eligibility - General Recipient Rules

  • Income Standards

Medicaid Eligibility - Affordable Care

  • Financial Responsibility Requirements
September 26, 2017
23

 

8.308.2

8.308.6

8.308.7

8.308.8

8.308.9

8.308.10

8.308.11

8.308.13

8.308.15

8.308.21

8.302.3

Managed Care Program

  • Provider Network
  • Eligibility
  • Enrollment and Disenrollment
  • Member Education
  • Benefit Package
  • Care Coordination
  • Transition of Care
  • Member Rewards
  • Grievances and Appeals
  • Quality Management
  • Medicaid General Provider Policies, Third Party Liability Provider Responsibilities 
October 17, 2017
24

8.281.510

8.290.600

  • Institutional Care-Trust Standards
  • Home and Community-Based Services Waiver-Benefit Description
November 14, 2017
25

8.200.510

8.215.500

8.240.500

8.281.400

8.281.500

8.290.400

 

  • General Recipient Rules-Resource Standards
  • SSI Methodology-Income and Resource Standards
  • QMB-Income and Resource Standards
  • Institutional Care-Recipient Policies
  • Institutional Care-Income and Resource Standards
  • Home and Community-Based Services Waiver-Recipient Policies
October 31, 2017

 

Emergency Registers 2018 - Volume 41

Register Number

 

Rule Numbers NM Administrative Code Policy Topic Date
12

8.200.520

8.291.430

Medicaid Eligibility – General Recipient Rules

  • Income Standards

Medicaid Eligibility – Affordable Care

  • Financial Responsibility Requirements
 May 17, 2018

25

8.200.510
Medicaid Eligibility – General Recipient Policies
  • Resource Standards
  • 8.200.510 Transmittal Form
 September 11,   2018

 

Emergency Registers 2017 - Volume 40

 

Register Number

 

Rule Numbers NM Administrative Code Policy Topic Date
27

8.200.410

Medicaid Eligibility - General Recipient Rules:

  • General Recipient Requirements
  • 8.200.410 Transmittal
January 18, 2018

 

 

 
2016 Final Registers Archive
Vol 39 No 1 - 8.314.5

Vol 39 No 2 - 8.314.6

Vol 39 No 3 - 8.310.10

Vol 39 No 4 - 8.200.430; 8.291.520

Vol 39 No 14 - 8.311.3

2016 Proposed Registers
Vol 39 No 5 - 8.231.400, 8.231.500, 8.231.600

Vol 39 No 6 - 8.308.10

Vol 39 No 7 - 8.311.3

Vol 39 No 8 - 8.290.500

Vol 39 No 10 - 8.308.7

Vol 39 No 11 - 8.311.2

Vol 39 No 12 - 8.312.2; 8.321.3

Vol 39 No 13 - 8.308.20

Vol 39 No 19 - 8.308.12

Archive
Coming Soon!
Coming Soon!
Coming Soon!
Coming Soon!
Coming Soon!
Coming Soon!
Coming Soon!
Coming Soon!
Coming Soon!
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

Human Services Department

Looking for Assistance - Looking for Information - Providers

About Us - Centennial Care - Public Information - Contact Us - theWire-Employees Only

Disclaimer - Site Map - Non Discrimination Statement - Confidentiality & Privacy Statement

Copyright 2012

Designed and Developed by RealTimeSolutions
Loading...