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Inactive – LOD #1 – Guidance for CHV Program Implementation – Repealed and Replaced by LOD #1-1

LOD1-1 Repeal and Replace CHV Program Implementation, Statewide

LOD #2 – Community Intervener I and II

Inactive – LOD #3 – Tracking Measure Reporting Requirements- Repealed and replaced by LOD #16

Inactive – LOD #4 – Nursing Facility Level of Care extensions- Sunset 6/30/2019

LOD #5 – Implementation of the Annual Consumer, Family-Caregiver and Youth Satisfaction Project Survey

Inactive – LOD #6 – Compilation of NF LOC Criteria and Instructions eff. 1/1/2019 – Sunset on inclusion in the Managed Care Policy Manual eff. 10/1/2020

Inactive – LOD #7 – Directed Payment to UNM Medical Group- Repealed and replaced by LOD #9

Inactive – LOD #8 – Valle Del Sol Payment of Adult Psycho-Social Rehab Services-Sunset 6/30/2019

Inactive – LOD #9 – Directed Payment to UNM Medial Group- Repealed and Replaced by LOD #9-1

Inactive – LOD #9-1- UNM Medical Group and UNM Hospital Professional Group Directed Payment Repeal & Replace LOD #9

LOD #9-2 – UNM Medical Group and UNM Hospital Professional Group Directed Payment

Inactive – LOD #10 – CY19 Telemedicine DSIPT- Repealed and replaced by LOD #11

Inactive – LOD #11 – CY19 Telemedicine DSIPT- Sunset upon completion of the CY19 DSIPT Reporting Period

LOD #12 – Medicaid Provider Payment Rates

Inactive – LOD #13 – Hospital Payment Rate Increase- Repealed and replaced by LOD #14

Inactive – LOD #14 – Hospital Payment Rate Increase- Repealed and replaced by LOD #20

Inactive – LOD #15 – Payment to Raton Nursing & Rehabilitation center- Sunset 11/30/2019

Inactive – LOD #16 – Tracking Measure Reporting Requirements- Repealed and replaced by LOD #22

Inactive – LOD #17 – SUPPORT Act Requirements- Sunset on inclusion in Contract Amendment #2

LOD #18 – Use of Electronic Visit Verification for EPSDT Personal Care Services

LOD #19 – Medicaid Provider Payment Rates

LOD #20 – Hospital Payment Rates Effective July 1, 2019 Repeal LOD #14

Inactive – LOD #21 – CBSQ and CBMA-Sunset on inclusion in the Managed Care Policy Manual eff. 10/1/2020

Inactive – LOD #22 – Tracking Measure Reporting Requirements- Repealed and replaced by LOD #33

Inactive- LOD #23 – Delivery System Improvement Performance Targets (DSIPTs)- Sunset on inclusion in Contract Amendment #2

Inactive- LOD #24 – 2020 Performance Measures and Targets- Sunset on inclusion in Contract Amendment #2

Inactive- LOD #25 – Payment Rate Increases Effective January 1, 2020- Repealed and Replaced by LOD #28

Inactive- LOD #26 – Quarterly Care Coordination Performance Standards- Sunset on inclusion in Contract Amendment #2

LOD #27 – CY 19 Performance Measures

Inactive-LOD #28 – Payment Rate Increases Effective January 1, 2020 Repealed and Replaced by LOD 28-1

LOD #28-1 – Payment Rate Increases Effective January 1, 2020

Inactive-LOD #29 – ABP Corrections- Sunset on inclusion in Contract Amendment #2

Inactive-LOD #30 – COVID-19 Guidance for CC 2.0 MCOs- Repealed and Replaced by LOD #31

Inactive-LOD #31 – COVID-19 Guidance for CC 2.0 MCOs- Repealed and Replaced by the “Special COVID-19 LODs” below

LOD #32 – Health Care Quality Surcharge (HCQS) created by Senate Bill 246 (SB246)

Inactive-LOD #33 – Tracking Measure Reporting Requirements Repeal & Replace LOD #22

LOD #33-1- Tracking Measure Reporting Requirements

LOD #34 – Tobacco Cessation Coverage for all MAP Recipients

Inactive-LOD #35 – UNM Hospital Directed Payment -Repealed and Replaced by LOD #35-1

Inactive-LOD 35-1 – UNM Hospital Directed Payment

LOD #35-2 – UNM Hospital Directed Payment

LOD #36 – Hospital Access Program (HAP) Directed Payment

LOD #37 – Nursing Facility Value Based Purchasing (NF VBP)

LOD #38 – Change Contact Requirements for DTE Members requiring a CNA

LOD #39 – Care Link New Mexico Health Homes

Inactive-LOD #40 – Medication Assisted Treatment (MAT) Medications: Narcan and Naloxone

LOD #40-1 – Medication Assisted Treatment (MAT) Medications; Narcan and Naloxone

LOD #41 – MCO Program Integrity Requirements

LOD #42 – Transition of Payment from Medicaid to Medicare for OTP Services

LOD #43 – Community Benefit Reconciliation

LOD #44 – ABA Payment Rates Increases Effective October 1, 2019

Inactive-LOD #45 – Adult Accredited Residential Treatment Centers

LOD #45-1 – Implementation of Adult Accredited Residential Treatment Center Services

LOD #46 – Medical Residency Pilot Program

LOD #47 – HCQS Per Diem and MBI increase for SFY 2021

LOD #48 – Reconciliation of claims for the ABA Payment Rates Increases Effective October 1, 2019

LOD #49 – MCO Payment Recoupment from Providers

LOD #50 – Naturopathic Doctors: Participation in the NM Medicaid Program

LOD #51 – New 1915 (c) Home and Community-Based Services Program – Supports Waiver

LOD #52 – MCO Systems Configurations for BH Claims from FQHC Satellite Locations

LOD #53 –  Managed Care Subrogation Recoveries

LOD #54 – BH DSIPT

Inactive-LOD #55 – Provider Changes for Minimum Wage Adjustment

LOD #55-1 – Provider Changes for Minimum Wage Adjustment

LOD #56 – CareLink NM Health Homes

LOD #57 – Gross Receipts Tax (GRT)

LOD #58 – CY 20 Performance Measures

LOD #59 – Non-Clinical PIPs Revision

LOD #60 – NDC Requirement for Drug Rebate Collection and 340B Claim Billing

LOD #61 –  Change Contract Requirements for Full Delegation Model Members

LOD #62 – Crisis Triage Centers

LOD #63 – Grievances Appeals Systems

LOD #64 – Expedited Provider Set Up and Allowances of Treat First Service Delivery

LOD #65 – HCQS Per Diem and MBI increase for SFY 2022

LOD #66 – Health Risk Assessment for Transitioning Members

LOD #67 – EOB Exception for Behavioral Health Services and Providers

LOD #68 – Trauma Hospitals Directed Payment

LOD #69 – MCO Requirements for Children in State Custody (CISCs)

LOD #70 – I.H.S. & Tribal 638 Outpatient Pharmacy Reimbursement Change

LOD #71 – Bernalillo Academy Reimbursement for Multiple Assessments

LOD #72 – MY 2020 CAHPS 5.0H Revised State Supplemental Questions

LOD #73 – Performance Measures Reporting Requirements