New Mexico Administrative Code
Title 8 - SOCIAL SERVICES
Chapter 308 - MANAGED CARE PROGRAM
Part 13 - MEMBER REWARDS
Section 8.308.13.9 - ELIGIBLE MEMBERS
Universal Citation: 8 NM Admin Code 8.308.13.9
Current through Register Vol. 35, No. 18, September 24, 2024
A member of a HSD contracted managed care organization (MCO) is eligible to participate in the managed care member rewards program.
A. For a native American member who elects to opt out of receiving medical assistance division (MAD) services through a HSD contracted MCO, and retains MAP category of eligibility, he or she no longer will earn reward credits as of the last day of enrollment in his or her MCO.
B. Upon losing eligibility for continued enrollment in a HSD contracted MCO, the individual no longer will earn member reward credits.
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