New Mexico Register / Volume XXXVI, Issue 11 / June 10, 2025

 

 

This is an amendment to 8.299.400 NMAC, Sections 1, 3, 8 and 9 effective 7/1/2025.

 

8.299.400.1          ISSUING AGENCY:  New Mexico Health Care Authority (HCA).

[8.299.400.1 NMAC - Rp, 8.299.400.1 NMAC, 1/1/2019; A, 7/1/2024; A, 7/1/2025]

 

8.299.400.3          STATUTORY AUTHORITY:  The New Mexico medicaid program and other health care programs are administered pursuant to regulations promulgated by the federal department of health and human services under Title XIX of the Social Security Act as amended or by state statute.  See Section 27-1-12 et seq., NMSA 1978.  Section 9-8-1 et seq. NMSA 1978 establishes the [health care authority (HCA)] HCA as a single, unified department to administer laws and exercise functions relating to health care facility licensure and health care purchasing and regulation.

[8.299.400.3 NMAC - Rp, 8.299.400.3 NMAC, 1/1/2019; A, 7/1/2024; A, 7/1/2025]

 

8.299.400.8          [RESERVED] MISSION:  We ensure that New Mexicans attain their highest level of health by providing whole-person, cost-effective, accessible, and high-quality health care and safety-net services.

[8.299.400.7 NMAC - Rp, 8.299.400.8 NMAC, 1/1/2019; A, 7/1/2025]

 

8.299.400.9          WHO CAN BE A RECIPIENT (42 CFR 435.214):

[HSD] The health care authority provides medicaid limited to family planning and family planning related services to individuals (of any gender) who:

[               A.            are under the age of 51 and do not have other health insurance; or

                B.            who are under the age of 65 who have only medicare coverage and no other health insurance; and

                C.            who are not pregnant; and

                D.            meet the general recipient requirements found at 8.291.410 NMAC; and

                E.            meet the income eligibility requirements found at Subsection B of 8.299.500.10 NMAC.]

                A.            are not pregnant; and

                B.            meet the general recipient requirements found at 8.291.410 NMAC; and

                C.            meet the income eligibility requirements found at Subsection B of 8.299.500.10 NMAC.

[8.299.400.9 NMAC - Rp, 8.299.400.9 NMAC, 1/1/2019; A, 7/1/2025]