New Mexico Administrative Code
Title 8 - SOCIAL SERVICES
Chapter 325 - SPECIALTY SERVICES
Part 9 - HOME HEALTH SERVICES
Section 8.325.9.10 - ELIGIBLE PROVIDERS
Universal Citation: 8 NM Admin Code 8.325.9.10
Current through Register Vol. 35, No. 18, September 24, 2024
A. Upon approval of New Mexico medical assistance program provider participation agreements by the New Mexico medical assistance division (MAD), home health agencies that meet the following conditions are eligible to be reimbursed for furnishing services:
(1) meet the conditions
of participation. See 42 CFR, Section 484 Subpart B;
(2) are licensed and certified by the
licensing and certification bureau of the HCA to meet all standards for
participation in a federal program established under Title XVIII (medicare) of
the Social Security Act. Any provider participating only in medicaid must be
licensed and certified to comply with the standards for medicare participation;
and
(3) are public agencies,
private for-profit agencies, or private non-profit agencies primarily engaged
in furnishing skilled nursing services and at least one other therapeutic
service.
B. 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.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
