New Mexico Administrative Code
Title 8 - SOCIAL SERVICES
Chapter 325 - SPECIALTY SERVICES
Part 10 - EMERGENCY MEDICAL SERVICES FOR NON-CITIZENS
Section 8.325.10.12 - ELIGIBLE INDIVIDUALS
Universal Citation: 8 NM Admin Code 8.325.10.12
Current through Register Vol. 35, No. 18, September 24, 2024
A. An applicant must be a noncitizen who is undocumented or who does not meet the qualifying immigration criteria specified in 8.200.410 NMAC, General Recipient Requirements, and in 8.285.400 NMAC, Medicaid Eligibility Emergency Medical Services for Non-Citizens-Category 085.
B. Eligibility determinations are made by local county income support division (ISD) offices after the receipt of emergency services. The individual is responsible for completing an application at the local county ISD office and for providing all necessary documentation to prove that they meet the applicable eligibility criteria.
(1) An individual must apply for
coverage at the ISD office no later than the last day of the third month
following the month in which the alleged emergency services were
received.
(2) A noncitizen
recipient is responsible for notifying providers of the approval or denial of
an application.
(3) If an
application is denied or an application for coverage is not filed by the last
day of the third month following the month in which the alleged emergency
services were received, the non-citizen recipient is responsible for payment of
the provider bill.
(4) If
reimbursement for services is denied by MAD, the individual is responsible for
payment and can be billed directly for payment by the provider.
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.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
