New Mexico Administrative Code
Title 8 - SOCIAL SERVICES
Chapter 310 - HEALTH CARE PROFESSIONAL SERVICES
Part 4 - FEDERALLY QUALIFIED HEALTH CENTER SERVICES
Section 8.310.4.10 - ELIGIBLE PROVIDERS
Universal Citation: 8 NM Admin Code 8.310.4.10
Current through Register Vol. 35, No. 18, September 24, 2024
A. Upon approval of New Mexico medical assistance program provider participation agreements by MAD, the following entities are eligible to be reimbursed for furnishing medical services as FQHCs:
(1)
entities which receive a grant under Sections 245b, 254c, and 256 of the Social
Security Act;
(2) entities which
receive funding from such a grant under a contract with the recipient of such a
grant indicated above which meet the requirements to receive a grant under
Sections 245b, 254c, and 256 of the Social Security Act;
(3) entities which the secretary of the
federal department of health and human services determines meet the
requirements for receiving such a grant or entities which qualify through
waivers authorized by the secretary of the department of health and human
services; and
(4) outpatient health
programs or facilities operated by a tribe or tribal organization under the
Indian Self-Determination Act or by an urban Indian organizations receiving
funds under the Indian Health Care Improvement Act for the provision of primary
health services.
B. Individual providers employed by or under contract with FQHCs must be enrolled with New Mexico medicaid.
C. Once enrolled, providers receive a packet of information, including medicaid program policies, billing instructions, utilization review instructions, and other pertinent material from MAD. Providers are responsible for ensuring that they have received these materials and for updating them as new materials are received from MAD.
Disclaimer: These regulations may not be the most recent version. New Mexico may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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