N.M. Admin. Code § 8.326.8.10

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

Section 8.326.8.10 - ELIGIBLE PROVIDERS

Upon approval of a New Mexico medical assistance program provider participation agreement by the New Mexico medical assistance division (MAD), the following agency is reimbursed for furnishing case management services to clients in the identified population: New Mexico children, youth and families department. See the New Mexico Children's Code, Chapter 32A-2-5.

A.Agency qualifications:

B.Case manager qualification:

(1) Case managers employed by the New Mexico children, youth and families department must possess the knowledge, skills, abilities and experience to perform case management services for the targeted population and when necessary, possess language skills, cultural sensitivity and acquired knowledge unique to a geographic area. Case managers must meet at least one of the following qualifications: a bachelor's degree in social work, counseling, psychology or a related field and experience serving the targeted population.

(2) All children, youth and families department, juvenile probation and parole officers (JPPOs) and JPPO supervisors performing targeted case management services must have documentation in their personnel file of completion of structured decision making training and any other additional or supplemental training developed by CYFD specific for this program.

(3) 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 § 8.326.8.10

3/1/00; 8.326.8.10 NMAC - Rn, 8 NMAC 4.MAD.778.1, 3/1/12