N.M. Admin. Code § 8.325.8.10

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

Section 8.325.8.10 - ELIGIBLE PROVIDERS

A. Upon approval of New Mexico medical assistance program provider participation agreements by the New Mexico medical assistance division (MAD), the following providers are eligible to be reimbursed for furnishing outpatient rehabilitation services to recipients:

(1) rehabilitation centers with a primary emphasis on physical therapy, occupational therapy or speech therapy which are licensed and certified by the public health division of the department of health. Alcohol or drug treatment centers are excluded;

(2) physical therapists licensed as physical therapists and certified in independent practice for participation in the medicare program by the public health division of the department of health;

(3) occupational therapists licensed as occupational therapists and certified in independent practice for participation in the medicare program by the public health division of the department of health;

(4) home health agencies licensed and certified by the public health division of the department of health; and

(5) general hospitals eligible to provide outpatient rehabilitation services licensed and certified by the public health division of the department of health.

B. Once enrolled, providers receive a packet of information, including medicaid program policies, billing instructions, utilization review instructions and other pertinent material from MAD. Providers are responsible for ensuring that they have received these materials and for updating them as new materials are received from MAD.

N.M. Admin. Code § 8.325.8.10

2/1/95; 8.325.8.10 NMAC - Rn, 8 NMAC 4.MAD.767.1, 3/1/12