N.M. Admin. Code § 8.313.2.14

Current through Register Vol. 36, No. 1, January 14, 2025

Section 8.313.2.14 - REQUIRED SERVICES

Medicaid does not reimburse ICFs-MR for furnishing services, unless they provide at least the following, see 42 CFR 483.440(a):

A. room and board;

B. continuous active treatment program, including aggressive, consistent implementation of a program of specialized and generic training, treatment, health services and related services that are directed towards the following:

(1) acquisition of the behaviors necessary for the recipient to function with as much self determination and independence as possible; and

(2) prevention or deceleration of regression or loss of current functional status.

C. personal assistance services 24 hours a day, seven days a week; personal assistance services are those services, other than professional nursing services, which may be needed by an individual because of age, infirmity, physical or mental limitations, or dependence in accomplishing the activities of daily living.

N.M. Admin. Code § 8.313.2.14

2-1-95; 8.313.2.14 NMAC - Rn, 8 NMAC 4.MAD.732.3 & A, 11-1-00, Adopted by New Mexico Register, Volume XXXV, Issue 12, June 25, 2024, eff. 7/1/2024