New Mexico Administrative Code
Title 8 - SOCIAL SERVICES
Chapter 100 - GENERAL PROVISIONS FOR PUBLIC ASSISTANCE PROGRAMS
Part 100 - GENERAL OPERATING PROCEDURES
Section 8.100.100.11 - GENERAL PROGRAM DESCRIPTIONS
Universal Citation: 8 NM Admin Code 8.100.100.11
Current through Register Vol. 35, No. 18, September 24, 2024
A. NMW:
(1)
Purpose: The purpose of the
New Mexico works (NMW) program is to improve the quality of life for parents
and children by increasing family income, assisting parents to develop the
discipline necessary for self-sufficiency and to improve their self-esteem. The
further purpose of the program is to increase family income through family
employment and child support and by viewing financial assistance as a support
service to enable and assist parents to participate in employment.
(2) The program accomplishes this purpose by
providing cash assistance, medical assistance, and work program services,
including education, job training, and transportation to assist recipients in
obtaining and keeping employment that is sufficient to sustain their families
thereby ensuring the dignity of those who receive assistance and strengthening
families and the families' support for their children.
(3)
Legal basis: The New Mexico
Works Act assigns responsibility for administration of the New Mexico works
program to the health care authority. The governor of the state of New Mexico
has designated the HCA as the TANF state agency in the state's biennial TANF
block grant plan, pursuant to the requirements of Section 401 of Title IV-A of
the federal Social Security Act.
B. General assistance:
(1)
Purpose: General assistance
(GA) is a limited program providing financial assistance to needy individuals
and families who are not eligible for assistance under the New Mexico works
program or under the federal supplemental security income (SSI) program. GA
payments are made to:
(a) disabled adults who
do not qualify for NMW who are not eligible for SSI because their disability is
not severe enough;
(b) disabled
adults who do not qualify for NMW;
(c) on behalf of children under 18 years of
age who would be eligible for NMW except that they are not living with a person
who is eligible to receive NMW; and
(d) SSI recipients who reside in licensed
adult residential care homes.
(2)
Legal basis: Section 27-1-3
NMSA (Repl. 1984) provides that "the state department shall: administer
assistance to the needy, blind and otherwise handicapped and general
relief."
C. Food stamps:
(1)
Purpose: The
food stamp program is designed to promote the general welfare and to safeguard
the health and well-being of the nation's population by raising the levels of
nutrition among low-income households.
(2)
Section 2 of the Food Stamp Act of
1977 states, in part: Congress hereby finds that the limited food
purchasing power of low-income households contributes to hunger and
malnutrition among members of such households. To alleviate such hunger and
malnutrition, a food stamp program is herein authorized which will permit
low-income households to obtain a more nutritious diet through normal channels
of trade by increasing food purchasing power to all eligible households who
apply for participation.
(3)
Legal basis: The food stamp program is authorized by the Food Stamp Act
of 1977 as amended (7 U. S.
C. 2011 et seq.). Regulations issued pursuant
to the act are contained in 7 CFR Parts 270-282. state authority for
administering the food stamp program is contained in Chapter 27 NMSA, 1978.
Administration by HCA, including its authority to issue regulations, is
governed by Chapter 9, Article 8 NMSA (Repl. 1983).
D. Refugee resettlement program:
(1)
Purpose: The purpose of the
refugee resettlement program (RRP) is to help refugees, political asylees and
entrants, regardless of national origin, achieve economic self-sufficiency as
quickly as possible. The purposes of the program are accomplished through
financial and medical assistance while support services are provided to help
refugees acclimate to American society, learn English and get a job. Federal
legislation gives eligible refugees and their dependents financial and medical
assistance through one hundred percent federal reimbursement to states,
including administrative costs, for the first 18 months after entry into the
United States.
(2)
Legal
basis: The refugee resettlement program (RRP) is authorized under Title
IV of the Immigration and Nationality Act of 1980. The act designates the U.S.
department of health and human services as the federal administering agency.
RRP program regulations are issued by DHHS in the Code of Federal Regulations
Title 45, Part 400, supplemented by administrative and program instructions
issued by the federal department from time to time. By Executive Order No.
80-62, dated 10/1/1981, the governor of the state of New Mexico has designated
HCA as the single state agency responsible for administering the program in New
Mexico.
E. Medical assistance programs:
(1)
Medicaid:
(a)
Purpose: Medicaid is a federally matched program that makes
certain essential health care services available to eligible New Mexico
residents who otherwise would not have the financial resources to obtain them.
With certain exceptions, medicaid benefits are provided through "salud!", the
HCA's medicaid managed care program.
(b)
Eligible individuals
include:
(i) families who meet New
Mexico's AFDC requirements as it existed, or is considered to have existed, on
July 16, 1996, as amended;
(ii)
individuals who have been NMW recipients and are in transition to self-support
due to employment, child support, or both;
(iii) pregnant women who meet income and
resource requirements for the state's AFDC program as it existed, or is
considered to have existed on July 16, 1996, as amended (full-coverage
medicaid);
(iv) children under 19
years of age whose income is below one hundred eighty-five percent of federal
poverty levels;
(v) pregnant women
with income below one hundred eighty-five percent of federal income poverty
levels (for pregnancy-related services);
(vi) recipients of assistance under the
federal SSI program and those who have lost their SSI eligibility because of
cost-of-living increases in Title II benefits;
(vii) aged, blind, and disabled individuals
in institutions who meet all standards for SSI except income;
(viii) individuals who meet all standards for
institutional care but can be cared for at home;
(ix) qualified medicare beneficiaries (QMBs),
qualified disabled working individuals (QDs),
(x) and specified low income medicare
beneficiaries (SLIMBs), limited coverage for medicare beneficiaries;
and
(xi) certain foster children in
the custody of the state.
(c)
Legal basis: HCA is the
single state agency designated to administer the New Mexico Title XIX medicaid
program in accordance with 42 CFR 431.10, single state
agency. State authority is provided by Section 272-12 NMSA 1978 (Repl. 1984).
Title XIX of the Social Security Act and United States department of health and
human services rules establish the requirements for state plans for medical
assistance.
(2)
Special medical needs:
(a)
Purpose: The special medical needs program for seriously ill
individuals is an entirely state-funded medical assistance program for
individuals who suffer serious illnesses. Individuals applying under this
program must be eligible according to New Mexico statutes and HCA policy. No
new recipients are being added to this category.
(b)
Legal basis: State authority
for administering the special medical needs program is contained in Sections
27-4-1 to 27-4-5 NMSA 1978 (Repl. 1984).
(3)
Medical assistance to
refugees
(a)
Purpose:
This program operates in accordance with the provisions of the medicaid program
but is at present one hundred percent funded by the federal government. Medical
assistance is provided to individuals and families qualifying for assistance
under the refugee resettlement program.
(b)
Legal basis: State authority
for administering the medical assistance to refugees program is contained in
Section 27-2-12 NMSA 1978 (Repl. 1984).
(4)
Waivers for in-home care:
The New Mexico department of health, under waivers from DHHS, provides certain
in home care services as an alternative to institutionalization. These waivers
authorize services for: elderly, blind and physically handicapped individuals;
developmentally disabled individuals; and medically fragile individuals, AIDS.
Services under the waiver program are provided to both medicaid-eligible
individuals and those who have income and resources in excess of medicaid
standards. Within the HCA, the medical assistance division (MAD) is responsible
for developing policy and regulations for these waiver programs.
F. Energy assistance:
(1)
Purpose: Three energy
assistance programs to assist low-income households during periods of high
heating costs are administered by HCA:
(a)
low income home energy assistance program (LIHEAP);
(b) emergency crisis intervention assistance
program (ECIAP); and
(c) low income
utility assistance program (LIUAP).
(2) Energy assistance is provided for home
heating costs incurred during the months of November, December, January, and
February of each year. The HCA may extend the program season by one or more
months subject to the availability of supplemental state or federal
funds.
(3)
Legal
basis: These programs are governed by the federal, state and other
pertinent laws and regulations established for a defined program period,
including but not limited to the following: 42 USC Section 8601 : Chapter 94,
Subchapter II, Low Income Home Energy Assistance Act (LIHEAA); Sections 27-6-11
to 27-6-16 NMSA 1978 (Repl. 1984) Low Income Utility Assistance Act (LIUAA).
(4) Funding for the LIHEAP and
ECIAP programs is from the LIHEAA block grant.
G. Child support services:
(1) Every specified parent/relative caretaker
who applies for or receives NMW from HCA is required, as a condition of
eligibility, to make an assignment of support rights to the state and to
cooperate with the state, if necessary, in establishing paternity and securing
support.
(2)
Exception: The cooperation requirement is not applied in cases
where it would not be in the best interests of the child to
cooperate.
(3) The provisions of
the child support enforcement program are contained in Title IV-D of the Social
Security Act, and the agency responsible for its implementation is frequently
referred to as the IV-D agency. In New Mexico, the IV-D agency is the HCA child
support services division (CSSD).
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