New Mexico Administrative Code
Title 8 - SOCIAL SERVICES
Chapter 325 - SPECIALTY SERVICES
Part 9 - HOME HEALTH SERVICES
Section 8.325.9.18 - REIMBURSEMENT LIMITATIONS
Current through Register Vol. 35, No. 18, September 24, 2024
The following limitations apply to reimbursement made to home health agencies:
A. allowable costs are determined according to medicare and Title XIX (medicaid) reimbursement regulations;
B. the established percentage relationship of the agency's cost to charges per unity of services includes all services;
C. out-of-state providers are reimbursed at seventy percent of billed charges. Out-of-state home health services are approved only in very unusual circumstances, since home health services are furnished in the recipient's residence and that residence must be in New Mexico; and
D. claims for approved home health services must include the types of visits, dates of visits and number of visits.
