N.M. Admin. Code § 8.308.9.24

Current through Register Vol. 35, No. 23, December 10, 2024

Section 8.308.9.24 - SERVICES EXCLUDED FROM THE MCO BENEFIT PACKAGE

MAD does not cover some services. For the following services that are covered in another MAP category of eligibility, reimbursement shall be made by MAD or its contractor. However, the MCO is expected to coordinate these services, when applicable, and ensure continuity of care by overseeing PCP consultations, medical record updates and general coordination.

A.Medicaid in the schools: Services are covered under 8.320.6 NMAC. Reimbursement for services is made by MAD or its contractor.

B.Special rehabilitation services-family infant toddler (FIT): Early intervention services provided for a member birth to three years of age who has or is at risk for a developmental delay. Reimbursement for services is made by MAD or its contractor.

N.M. Admin. Code § 8.308.9.24

Adopted by New Mexico Register, Volume XXIX, Issue 08, April 24, 2018, eff. 5/1/2018, Amended by New Mexico Register, Volume XXIX, Issue 23, December 11, 2018, eff. 1/1/2019