N.M. Admin. Code § 8.310.10.14

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

Section 8.310.10.14 - GENERAL NON-COVERED SERVICES

Non-covered CareLink NM services are subject to the limitations and coverage restrictions that exist for other MAD services. See 8.310.2 and 8.321.2 NMAC for general non-covered services. Specific to CareLink NM services, the following apply:

A. CareLink NM services rendered during an eligible recipient's stay in an acute care or freestanding psychiatric hospital and a residential treatment facility (not to include foster care and treatment foster care placements), except when part of the eligible recipient's transition plan, are not covered services.

B. Services which duplicate other MAD services, including care coordination activities that the MCO has not delegated to the provider agency, are not covered services.

N.M. Admin. Code § 8.310.10.14

Adopted by New Mexico Register, Volume XXVII, Issue 06, March 31, 2016, eff. 4/1/2016, Amended by New Mexico Register, Volume XXIX, Issue 08, April 24, 2018, eff. 5/1/2018