New Mexico Administrative Code
Title 8 - SOCIAL SERVICES
Chapter 309 - ALTERNATIVE BENEFIT PROGRAM
Part 4 - MAD ADMINISTERED BENEFITS AND LIMITATION OF SERVICES
Section 8.309.4.19 - ABP-EXEMPT ELIGIBLE RECIPIENT GENERAL BENEFIT DESCRIPTION
Current through Register Vol. 35, No. 18, September 24, 2024
An ABP eligible recipient with a qualifying condition may select ABP-exempt utilizing the standard medicaid state plan benefits. All services, services limitations and co-payments that apply to full benefit medicaid recipients are available to APB-exempt recipients. An ABP-exempt recipient does not have access to the benefits that are only apply to ABP recipients. The ABP co-payments do not apply to an ABP-exempt recipient. The limitations on services that apply only to ABP-recipients do not apply to ABP-exempt recipients. The following chapters of Title 8 Social Services NMAC provide more detailed descriptions of services.
A. Chapter 301 medicaid general benefit description;
B. Chapter 302 medicaid general provider policies;
C. Chapter 310 health care professional services;
D. Chapter 311 hospital services;
E. Chapter 312 long term care-nursing services, with the exceptions detailed in Section 10 of this rule);
F. Chapter 313 long-term care facilities -intermediate care facilities;
G. Chapter 314 long-term care services-waivers;
H. Chapter 320 early and periodic screening, diagnosis and treatment (EPSDT);
I. Chapter 321 behavioral health services;
J. Chapter 324 adjunct services;
K. Chapter 325 specialty services; and
L. Chapter 326 case management services.
