New Mexico Register / Volume XXXII, Issue 24 / December 28, 2021
This is an amendment to 8.252.400 NMAC, Sections 8, 9, 13
and 21, effective 1/1/2022.
8.252.400.8 [RESERVED] MISSION: To transform lives. Working with our partners, we design and deliver
innovative, high quality health and human services that improve the security
and promote independence for New Mexicans in their communities.
[8.252.400.8 NMAC - N, 7/1/2002, A, 1/1/2022]
8.252.400.9 BREAST
AND CERVICAL CANCER (BCC) - Category 052:
The human services department (HSD) is the single state agency
designated to administer the medicaid program in New Mexico. The department of health (DOH) and the HSD are
charged with developing and implementing a program for uninsured women under
the age of 65 years, who have met screening criteria as set forth in the centers
for disease control and prevention’s (CDC) national breast and cervical cancer early
detection program (NBCCEDP). The DOH is
responsible for verifying that women referred for treatment have met screening
requirements that include an income test of [250%] two hundred and
fifty percent of the federal poverty guidelines, and diagnostic testing by
a contracted CDC provider resulting in a diagnosis of breast or cervical cancer
including pre-cancerous conditions. Women
who have met CDC screening criteria and identified as needing treatment for a
diagnoses of breast or cervical cancer, including pre-cancerous conditions will
be referred for treatment that includes the completion of a medicaid
application for the BCC program. The
Breast and Cervical Cancer Prevention and Treatment Act allows states to extend
presumptive eligibility to applicants in order to ensure that needed treatment
begins as early as possible.
[8.252.400.9 NMAC - N, 7/1/2002; A, 1/1/2022]
8.252.400.13 CITIZENSHIP: Refer to medical assistance program manual
Section MAD 412, 412.1, and 412.2 (Section 11 of 8.200.410 NMAC). Women who do not meet citizenship eligibility
criteria may be eligible to receive coverage for emergency services under the emergency
medical services for undocumented [aliens (EMSA)] non-citizens
(EMSNC) program.
[8.252.400.13 NMAC - N, 7/1/2002; A, 1/1/2022]
8.252.400.21 REPORTING
REQUIREMENTS: A woman [and/or]
or any other responsible party must:
A. report any changes in circumstances,
which may affect the woman’s eligibility within [ten (10)] 10
days of the date of the change to the county ISD office;
B. the ISD worker must evaluate the effect of the change and take any required action as soon as possible; however, the action must take effect no later than the end of the month following the month in which the change took place.
[8.252.400.21 NMAC - N, 7/1/2002; A, 1/1/2022]