N.M. Admin. Code § 8.302.1.16

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

Section 8.302.1.16 - ACCEPTANCE OF RECIPIENT OR THIRD PARTY PAYMENTS

A provider may only bill an eligible recipient or accept payment for services if all of the following requirements are satisfied:

A. The eligible recipient is advised by the provider before services are furnished that a particular service is not covered by MAD or that the particular provider does not accept patients whose medical services are paid for by MAD.

B. The eligible recipient is provided with information by the provider regarding the necessity, options, and charges for the service, and of the option of going to a provider who accepts MAD payment.

C. The eligible recipient still agrees in writing to have specific services provided with the knowledge that he will be financially responsible for payment.

N.M. Admin. Code § 8.302.1.16

2-1-95; 2-1-99; 8.302.1.16 NMAC - Rn, 8 NMAC 4.MAD.701.7, 7-1-01; A, 9-15-08, Adopted by New Mexico Register, Volume XXXIII, Issue 24, December 27, 2022, eff. 1/1/2023, Amended by New Mexico Register, Volume XXXV, Issue 12, June 25, 2024, eff. 7/1/2024