New Mexico Administrative Code
Title 8 - SOCIAL SERVICES
Chapter 326 - CASE MANAGEMENT SERVICES
Part 4 - CASE MANAGEMENT SERVICES FOR THE CHRONICALLY MENTALLY ILL
Section 8.326.4.10 - ELIGIBLE PROVIDERS
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), the following agencies are reimbursed for furnishing case management services to recipients who are chronically mentally ill:
B. Agency qualifications: Agencies must be certified by the mental health division of the department of health. Agencies must meet the following criteria.
C. Case manager qualification: Case managers employed by the agency must possess the education, skills, abilities, and experience to perform case management services for recipients who are chronically mentally ill. Case managers must meet at least one of the following requirements:
D. 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.