New Mexico Administrative Code
Title 7 - HEALTH
Chapter 30 - FAMILY AND CHILDREN HEALTH CARE SERVICES
Part 3 - CHILDREN'S MEDICAL SERVICES AND ADULT CYSTIC FIBROSIS
Section 7.30.3.9 - APPLICATION, ENROLLMENT AND REFERRAL
Current through Register Vol. 35, No. 18, September 24, 2024
Application for CMS services must be made in person, by telephone, or by letter from the client or another referral source to any children's medical services office, located in most counties in NM, generally in the public health division's county health offices.
A. If an application is submitted within 30 days of referral, eligibility begins on the date of referral. If the application is submitted after the 30-day time limit has expired, eligibility begins on the date the application was submitted.
B. The application shall include medical and financial information, as appropriate. Medical records and documentation of income and resources such as income tax returns, insurance policies, checks, check stubs, or deeds to real property may be required before the application will be deemed complete.
C. The care coordinator shall assist in obtaining medical and financial documentation insofar as she/he will define for the client what information is necessary to complete the application. The care coordinator may deny any application pending more than 30 days which has not been completed. Individuals whose application is denied may reapply at any time.
D. Upon receipt of a completed application, including medical records and documentation of income and assets, the division shall have 20 working days to determine eligibility for children with special health care needs or adults with cystic fibrosis. Written notification of application approval or denial will be sent to the client no later than 20 working days after receipt of a completed application.
