New Mexico Administrative Code
Title 8 - SOCIAL SERVICES
Chapter 325 - SPECIALTY SERVICES
Part 9 - HOME HEALTH SERVICES
Section 8.325.9.11 - PROVIDER RESPONSIBILITIES
Universal Citation: 8 NM Admin Code 8.325.9.11
Current through Register Vol. 35, No. 18, September 24, 2024
A. Providers who furnish services to medicaid recipients must comply with all specified medicaid participation requirements. See 8.302.1 NMAC, General Provider Policies.
B. Providers must verify that individuals are eligible for medicaid at the time services are furnished and determine if medicaid recipients have other health insurance.
C. Providers shall have written policies concerning the acceptance of recipients and the feasibility of meeting the recipient's needs in the home care setting, which include, but are not limited to:
(1) an evaluation visit in the recipient's
residence to consider the physical facilities available, capabilities and
attitudes of the recipient, family members or significant others, the
availability of care givers, if any, to help in the care of the patient, and
the appropriateness of home health care for meeting the recipient's needs in a
safe environment;
(2) the
recipient's need to receive medical care at home;
(3) orders from the recipient's
physician;
(4) documentation in the
medical record of (1), (2) and (3). Providers must maintain records which are
sufficient to fully disclose the extent and nature of the services furnished to
recipients. See 8.302.1 NMAC, General Provider
Policies.
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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