N.M. Admin. Code § 8.324.7.13

Current through Register Vol. 35, No. 21, November 5, 2024

Section 8.324.7.13 - NONCOVERED SERVICES

Transportation services are subject to the same limitations and coverage restrictions that exist for other MAD services. See 8.301.3 NMAC. Payments for transportation for any non-covered service is subject to retroactive recoupment.

A. MAD does not pay to transport a MAP eligible recipient to a medical or behavioral health service or provider that is not covered under the MAD program.

B. A provider will not be eligible to seek reimbursement from a MAP eligible recipient if the provider fails to notify the MAP eligible recipient or his or her authorized representative that the service is not covered by MAD. See 8.302.1 NMAC.

C. Transportation services will not be provided when other alternatives are available, such as mail delivery or free delivery. Retail pharmacies may mail, ship or deliver prescriptions to medicaid recipients consistent with applicable state and federal statutes and regulations.

N.M. Admin. Code § 8.324.7.13

8.324.7.13 NMAC - Rp, 8.324.7.13 NMAC, 1-1-14