New Mexico Administrative Code
Title 8 - SOCIAL SERVICES
Chapter 280 - MEDICAID ELIGIBILITY - PROGRAM OF ALL INCLUSIVE CARE FOR THE ELDERLY (PACE)
Part 400 - RECIPIENT POLICIES
Section 8.280.400.10 - BASIS FOR DEFINING THE GROUP

Universal Citation: 8 NM Admin Code 8.280.400.10
Current through Register Vol. 35, No. 18, September 24, 2024

Recipients and eligible applicants must live in certain designated zip codes within New Mexico. A PACE recipient cannot concurrently receive other medicaid home and community-based services. A PACE recipient may be placed in a qualifying nursing facility upon a medical doctor's orders and continue to participate in PACE. Upon disenrollment from PACE, a former PACE recipient may receive institutional care (IC) medicaid services as long as the individual meets all IC medicaid eligibility requirements. PACE recipients can concurrently receive the qualified medicare beneficiaries program (QMB), the specified low income medicare beneficiaries program (SLIMB), or supplemental security income (SSI). For PACE applicants/recipients who receive SSI benefits no further verification of income, resources, citizenship, age, disability, or blindness is required.

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