N.M. Admin. Code § 8.310.10.9

Current through Register Vol. 35, No. 23, December 10, 2024
Section 8.310.10.9 - HEALTH HOMES

CareLink NM is a set of services authorized by Section 2703 of the Affordable Care Act (ACA). CareLink NM health home (CareLink NM) services are delivered through a designated provider agency. In addition to being enrolled as a provider, a provider agency must complete a CareLink NM application and successfully complete a readiness assessment by HCA prior to becoming a designated health home. CareLink NM services enhance the integration and the coordination of primary, acute, behavioral health, and long-term services and supports. The CareLink NM provider agency assists an eligible recipient by engaging him or her in a comprehensive needs assessment which is then utilized to develop their integrated service plan and individual treatment plan, increasing their access to health education and promotion activities, monitoring the eligible recipient's treatment outcomes and utilization of resources, coordinating appointments with the eligible recipient's primary care and specialty practitioners, sharing information among their physical and behavioral practitioners to reduce the duplication of services, actively managing the eligible recipient's transitions between services, and participating as appropriate in the development of the eligible recipient's hospital discharge.

N.M. Admin. Code § 8.310.10.9

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, Amended by New Mexico Register, Volume XXXV, Issue 15, August 13, 2024, eff. 9/1/2024