LOOKING FOR INFORMATION LOOKING FOR INFORMATION OVERVIEW Emergency Contact Information Information for Recipients Americans with Disabilities Act Eligibility Guidelines Citizenship Requirements Earned Income Tax Credit Income and Resources Guidelines (FPLs) State Verification Plan Health Care Alternative Benefit Plan vs. State Plan Comparison Chart Centennial Care Centennial Care Overview Centennial Care Rewards How to Switch MCOs New Mexico Independent Consumer Support System (NMICSS) Value Added Services Centennial Care 2.0 Waiver Application (ARCHIVE) Cost Sharing Chart Health Care Reform Dental Care Information Managed Care Organizations (HIPAA) Recipient Privacy and Confidentiality Resources Forms Glossary of Acronyms, Abbreviations and Terms for Recipients Sites of Interest Special programs and Waivers Brain Injury Services Fund Overview Additional Programs for Individuals with Brain Injury who are Medicaid Eligible Brain Injury Education and Training Opportunities Resources, Materials, and Links Providers – Critical Incident report Form Family Infant and Toddlers (FIT) Home and Community Based Waivers Developmentally Disabled Medically Fragile Mi Via Intermediate Care Facility for Individuals with Intellectual Disabilities (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 Electronic Visit Verification (EVV) Contracts Behavioral Health Services Division Child Support Enforcement Division Income Support Division Medical Assistance Division Policy Manuals Behavioral Health Policy and Billing Manual Centennial Care Letters of Direction Managed Care Policy Manual Procedures General Information Memoranda (GIs) for ISD and MAD Interim Policies and Procedures (IPPs) Manual Revision Memos (MRs) Request for Proposals (RFPs) Open RFPs Closed RFPs RFPs – CLOSED (under construction) Rules and Statues (NMAC) Child Support Enforcement Division Registers 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 Final Report Centennial Care Evaluation Interim Report MCO Reviews & Audits Consumer Assessment of Healthcare Providers & Systems (CAHPS) Reports Center for Medicare and Medicaid Services 416 Centers for Medicare and Medicaid Home and Community Based Services Settings Final Rule External Quality Review Organization (EQRO) Reports Healthcare Effectiveness Data and Information Set (HEDIS) Reports Income Support Division Plans and Reports Medicaid Eligibility Reports Monthly Statistical Reports New Mexico Medicaid State Plan Medical Assistance Division Pending and Approved State Plan Amendments NM Medicaid Access Monitoring Review Plan Mental Health Parity Report for Medicaid Managed Care in NM 2017 Report 2018 Report (Revised) Quality Strategy Job Fairs Data Book 2020 Census Community Benefit Program Social Impact Home Page Primary Care Council Forms The forms on this page can be printed, filled out and then submitted through the mail or at a field office. All forms on this page are also available on YesNM where they can be submitted online using your YesNM account. Application Forms HSD 100 – Application for Assistance HSD 100 – Application for Assistance en ESPANOL MAD 100 – Application for Medical Assistance MAD 100 – Application for Medical Assistance en ESPANOL Back to Top
