N.M. Admin. Code § 8.309.4.19

Current through Register Vol. 35, No. 20, October 22, 2024

Section 8.309.4.19 - ABP-EXEMPT ELIGIBLE RECIPIENT GENERAL BENEFIT DESCRIPTION

An ABP eligible recipient with a qualifying condition may select ABP-exempt utilizing the standard medicaid state plan benefits. All services, services limitations and co-payments that apply to full benefit medicaid recipients are available to APB-exempt recipients. An ABP-exempt recipient does not have access to the benefits that are only apply to ABP recipients. The ABP co-payments do not apply to an ABP-exempt recipient. The limitations on services that apply only to ABP-recipients do not apply to ABP-exempt recipients. The following chapters of Title 8 Social Services NMAC provide more detailed descriptions of services.

A. Chapter 301 medicaid general benefit description;

B. Chapter 302 medicaid general provider policies;

C. Chapter 310 health care professional services;

D. Chapter 311 hospital services;

E. Chapter 312 long term care-nursing services, with the exceptions detailed in Section 10 of this rule);

F. Chapter 313 long-term care facilities -intermediate care facilities;

G. Chapter 314 long-term care services-waivers;

H. Chapter 320 early and periodic screening, diagnosis and treatment (EPSDT);

I. Chapter 321 behavioral health services;

J. Chapter 324 adjunct services;

K. Chapter 325 specialty services; and

L. Chapter 326 case management services.

N.M. Admin. Code § 8.309.4.19

8.309.4.19 NMAC - N, 1-1-14