New Mexico Administrative Code
Title 8 - SOCIAL SERVICES
Chapter 301 - MEDICAID GENERAL BENEFIT DESCRIPTION
Part 5 - MEDICAL MANAGEMENT
Section 8.301.5.15 - RECIPIENT NOTICE
Current through Register Vol. 35, No. 6, March 26, 2024
The Medical Assistance Division gives a recipient and the MCO, if the recipient is enrolled in Salud!, 13 working days notice of the decision to place the recipient in Medical Management. Notice is given for the initial imposition of the assignment, modification of the assignment, or continuation of the assignment.
A. Time Constraints: A recipient can submit a request for a hearing of his assignment into Medical Management, assignment of the designated providers, modification, or continuation of the assignment. If the recipient requests a hearing within the time frame established in Section 16 of 8.301.5, RECIPIENT HEARING, the proposed assignment shall remain imposed until a hearing decision states otherwise.
B. Information Contained in the Notice: The recipient notice contains the following information [ 42 CFR 431.210 ]: