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]