New Mexico Administrative Code
Title 8 - SOCIAL SERVICES
Chapter 326 - CASE MANAGEMENT SERVICES
Part 3 - CASE MANAGEMENT SERVICES FOR PREGNANT INDIVIDUALS AND THEIR INFANTS
Section 8.326.3.13 - Covered Services and Service Limitations
Current through Register Vol. 35, No. 18, September 24, 2024
Medicaid covers case management services for pregnant individuals and their infants which help recipients gain access to medical, social, educational or other needed services. Case management services provide necessary coordination with providers of non-medical services, such as nutrition or education programs, when these services are necessary to enable recipients to benefit from the health services paid for by medicaid.
A. Medicaid covers the following case management service activities furnished to pregnant individuals:
B. Medicaid covers five hours of case management services per client per pregnancy. The five hours include services to both the pregnant recipient and the infant. Additional units of service require prior approval by MAD or its designee.