N.M. Admin. Code § 8.285.600.10 - BENEFIT DETERMINATION
A.
Subsequent to the receipt of emergency services, an applicant must apply
through the local county income support division (ISD) office. The application
must be filed at the ISD office no later than the last day of the third month
following the month the presumed emergency services were received.
B. Documentation requirements: The applicant
must bring a completed emergency medical services for non-citizens (EMSNC)
referral for eligibility determination form (MAD 308) to the ISD office for the
financial eligibility determination. The emergency services provider must
complete the referral form.
C.
Financial documents: The applicant must provide all necessary documentation to
prove that they meet all financial and non-financial eligibility standards.
Medical providers cannot submit eligibility applications on behalf of the
applicant. The applicant is financially responsible for any services not
covered by medicaid. A completed and signed application form must be submitted
for each request for EMSNC.
Notes
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