New Mexico Administrative Code
Title 8 - SOCIAL SERVICES
Chapter 315 - OTHER LONG TERM CARE SERVICES
Part 2 - PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE)
Section 8.315.2.10 - ELIGIBLE PROVIDERS
Universal Citation: 8 NM Admin Code 8.315.2.10
Current through Register Vol. 35, No. 18, September 24, 2024
A. The eligible provider will have a professional services agreement (PSA) with the HCA. The provider will also meet the following conditions:
(1) be licensed and certified by the
licensing and certification bureau of the department of health (DOH) to meet
conditions as a diagnostic and treatment center;
(2) participate in the MAD utilization review
process and agree to operate in accordance with all policies and procedures of
that system; and
(3) meet and
comply with the centers for medicare and medicaid services (CMS) requirements
for full provider status for PACE organizations.
B. Once enrolled, the provider will receive a packet of information, including medicaid program policies, utilization review instructions, and other pertinent material from MAD. The provider is responsible for ensuring receipt of these materials and for updating 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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