N.M. Admin. Code § 8.308.8.10

Current through Register Vol. 35, No. 24, December 23, 2024

Section 8.308.8.10 - WRITTEN MEMBER MATERIALS

A. All written materials will be available in English and all languages spoken by approximately five percent or more of the MCO's membership, as determined by the HSD contracted managed care organization (MCO) or HSD. Upon consent from the appropriate native American tribal leadership, the MCO shall make every effort when a written form is not in the member's native language to translate the form in the member's native language.

B. The MCO is responsible for providing a member or potential member with its member handbook and provider directory, as requested by a member.

(1) The MCO shall send such information to the member within 30 calendar days of receipt of notification of enrollment in the MCO.

(2) Thereafter, upon the request from a member, the MCO shall send such information within 10 calendar days. The MCO shall provide the requestor the option to receive the material in a written or electronic form or by citation to be found on the member's MCO's website.

(3) On an annual basis, the MCO shall notify the member of the availability of updated materials and how to obtain such materials.

C. All written member materials must comply with provisions set forth in 42 CFR 438.10.

N.M. Admin. Code § 8.308.8.10

8.308.8.10 NMAC - N, 1-1-14, Adopted by New Mexico Register, Volume XXIX, Issue 08, April 24, 2018, eff. 5/1/2018