N.M. Admin. Code § 8.324.7.14

Current through Register Vol. 35, No. 17, September 10, 2024
Section 8.324.7.14 - OUT-OF-STATE TRANSPORTATION AND RELATED EXPENSES

Out-of-state transportation and related expenses require prior authorization by MAD or its designee. Out-of-state transportation is authorized only if the out-of-state medical or behavioral health service is approved by MAD or its designated contractor. Documentation must be available to the reviewer to justify the out-of-state travel and verify that treatment is not available in New Mexico.

A. Requests for out-of-state transportation must be coordinated through MAD.
B. Authorization for lodging and meal services by an out-of-state provider can be granted for up to 30 days by MAD. Re-evaluation authorizations are completed prior to expiration and every 30 days, thereafter.
C. Transportation to border cities, is defined as those cities within 100 miles of the New Mexico border (Mexico excluded), are treated as an in-state provider service. See 8.302.4 NMAC.

N.M. Admin. Code § 8.324.7.14

8.324.7.14 NMAC - Rp, 8.324.7.14 NMAC, 1-1-14