TITLE 8 SOCIAL SERVICES

CHAPTER 171 PREMIUM ASSISTANCE FOR CHILDREN (CATEGORY 071/2)

PART 500 INCOME AND RESOURCE STANDARDS

8.171.500.1 ISSUING AGENCY: Human Services Department

[8.171.500.1 NMAC - N/E, 8-31-06]

8.171.500.2 SCOPE: This rule applies to the general public.

[8.171.500.2 NMAC - N/E, 8-31-06]

8.171.500.3 STATUTORY AUTHORITY: New Mexico Statutes Annotated, 1978 (Chapter 27, Article 2-12) authorizes the human services department to administer a program of medical or premium assistance for children and pregnant women ineligible for federally funded public assistance. The premium assistance for kids program will be designated for purposes of this regulation as category 071.

[8.171.500.3 NMAC - N/E, 8-31-06]

8.171.500.4 DURATION: Permanent.

[8.171.500.4 NMAC - N/E, 8-31-06]

[The medical or premium assistance program is operated subject to the availability of funding.]

8.171.500.5 EFFECTIVE DATE: August 31, 2006, unless a later date is cited at the end of the section.

[8.171.500.5 NMAC - N/E, 8-31-06]

8.171.500.6 OBJECTIVE: The objective of premium assistance for kids is to reduce the number of uninsured New Mexicans by providing state funds toward the purchase of comprehensive health insurance products to children up to the age of twelve, and children up to the age of eighteen if part of a sibling group that includes a child up to the age of twelve, who are ineligible for public assistance under the act.

[8.171.500.6 NMAC - N/E, 8-31-06]

8.171.500.7 DEFINITIONS: See 8.171.400.7 NMAC.

[8.171.500.7 NMAC - N/E, 8-31-06]

8.171.500.8 [RESERVED]

8.171.500.9 INCOME DETERMINATION: In order to determine whether or not the applicant is potentially medicaid or SCHIP eligible, the countable income of the family with which the applicant resides must be determined. Family income will be determined using the income definitions, disregards, and methodologies as described in 8.232.400 NMAC. There is no upper income limit for premium assistance for kids. Once a child is determined eligible for premium assistance for kids, the eligibility will continue for a period of 12 months, or until the participant no longer meets age criteria, moves out of state, or the participant’s income changes, the information is reported to HSD, and the individual becomes eligible for medicaid or SCHIP.

[8.171.500.9 NMAC - N/E, 8-31-06]

HISTORY OF 8.171.500 NMAC: [RESERVED]