TITLE 8 SOCIAL SERVICES
CHAPTER 172 PREMIUM
ASSISTANCE FOR MATERNITY (CATEGORY 035/2)
PART 500 INCOME
AND RESOURCE STANDARDS
8.172.500.1 ISSUING
AGENCY: Human Services Department
[8.172.500.1 NMAC - N/E,
12-31-06]
8.172.500.2 SCOPE: This rule
applies to the general public.
[8.172.500.2 NMAC - N/E,
12-31-06]
8.172.500.3 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 pregnant women ineligible for
federally funded public assistance. The
premium assistance for maternity program will be designated for purposes of
this policy as category 035/2.
[8.172.500.3 NMAC - N/E,
12-31-06]
8.172.500.4 DURATION: The medical or
premium assistance program is operated subject to the availability of funding.
[8.172.500.4 NMAC - N/E,
12-31-06]
8.172.500.5 EFFECTIVE
DATE:
December 31, 2006, unless a later date is cited at the end of the
section.
[8.172.500.5 NMAC - N/E,
12-31-06]
8.172.500.6 OBJECTIVE: The objective
of premium assistance for maternity is to reduce the number of uninsured New
Mexicans by providing state funds toward the purchase of comprehensive health
insurance products for pregnant women who are ineligible for public assistance
under the act.
[8.172.500.6 NMAC - N/E,
12-31-06]
8.172.500.7 DEFINITIONS: See 8.172.400
NMAC.
[8.172.500.7 NMAC - N/E,
12-31-06]
8.172.500.8 [RESERVED]
8.172.500.9 INCOME
DETERMINATION: In order to determine whether or not the
applicant is potentially medicaid 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 8.235.500.11
NMAC. There is no upper income limit for
premium assistance for maternity (PAM).
Once a woman is determined eligible for PAM, the eligibility will
continue through the second month after the month of birth or pregnancy
termination, unless the woman moves out of state, or the family reports a
decrease in income which results in the woman becoming eligible for medicaid.
[8.172.500.9 NMAC - N/E,
12-31-06]
HISTORY OF 8.172.500
NMAC:
[RESERVED]