Current through Register Vol. 36, No. 1, January 14, 2025
Section 8.313.2.16 - NONCOVERED SERVICESA. Medicaid does not cover the costs of ICF-MR services that are not allowable. See 8.313.3 NMAC, Cost Related Reimbursement of Intermediate Care Facilities for the Mentally Retarded.B. Medicaid does not pay for residents with a primary diagnosis of mental retardation who are receiving care in a general nursing facility setting. Coverage of these residents is included only when they are residing in an ICF-MR facility or in a nursing facility when they have a medical condition which by and of itself would justify NF care.N.M. Admin. Code § 8.313.2.16
2-1-95; 8.313.2.16 NMAC - Rn, 8 NMAC 4.MAD.732.5 & A, 11-1-00, Adopted by New Mexico Register, Volume XXXV, Issue 12, June 25, 2024, eff. 7/1/2024