New Mexico Administrative Code
Title 8 - SOCIAL SERVICES
Chapter 312 - LONG TERM CARE SERVICES - NURSING SERVICES
Part 2 - NURSING FACILITIES
Section 8.312.2.13 - COVERED SERVICES
Universal Citation: 8 NM Admin Code 8.312.2.13
Current through Register Vol. 35, No. 18, September 24, 2024
A. MAD covers NF services identified as allowable costs; see 8.312.3 NMAC.
B. MAD covers physical, occupational and speech therapy services furnished to an eligible recipient or member residing in a NF in the following manner:
(1) if the
eligible recipient or member is also eligible for medicare and the NF does part
B billing, the co-payment or deductible is processed by MAD or the MCO for
services is paid by MAD or the MCO;
(2) if the eligible recipient or member
receives high NF level services, services are included in the MAD facility
rate; or
(3) if eligible, the
recipient or member receives low NF level services, services are billed
separately by participating therapy providers.
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