New Mexico Human Services Department

Serving 1 in 3 New Mexicans

 

Managed Care Policies

 

8.305.1 General Provisions
8.305.2 Member Education
8.305.3 Contract Management
8.305.4 Managed Care Eligibility
8.305.5 Enrollment In Managed Care
8.305.6 Provider Networks
8.305.7 Benefit Package
8.305.8 Quality Management
8.305.9 Coordination of Services
8.305.10 Encounters
8.305.11 Reimbursement for Managed Care
8.305.12 MCO Member Grievance Resolution
8.305.13 Fraud and Abuse
8.305.14 Reporting Requirements
8.305.15 Services for Children with Special Health Care Needs
8.305.16 Client Transition of Care
8.305.17 Value Added Services