N.M. Admin. Code § 8.291.410.18 - APPLICATIONS (42 CFR 435.907)

A. Basis and implementation. In accordance with section 1413(b)(1)(A) of the Affordable Care Act, HSD will accept an application from the applicant, an adult who is in the applicant's household, as defined in 42 CFR 435.603, or family, as defined in section 36B(d)(1) of the Code, an authorized representative, or if the applicant is a minor or incapacitated, someone acting responsibly for the applicant, and any documentation required to establish eligibility:

(1) Via the internet web site;

(2) By telephone;

(3) Via mail;

(4) In person; and

(5) Through other commonly available electronic means.

B. The application must be:

(1) The single, streamlined application for all insurance affordability programs or

(2) An alternative single, streamlined application for all insurance affordability programs, which may be no more burdensome on the applicant than the application described in Paragraph (1) of Subsection B of 8.291.410.18 NMAC. HSD uses the HSD 100 and MAD 100 application forms, and Your Eligibility System NM (Yes NM).

C. For individuals applying, or who may be eligible, for assistance on a basis other than the applicable modified adjusted gross income (MAGI) standard in accordance with 42 CFR 435.911 HSD will use an application described in Subsection B of 8.291.410.18 NMAC and supplemental forms to collect additional information needed to determine eligibility on such other basis.

D. HSD may not require an in-person interview as part of the application process for a determination of eligibility using MAGI-based income.

E. Limits on information: HSD will only require an applicant to provide the information necessary to make an eligibility determination or for a purpose directly connected to the administration of the state plan.

F. HSD accepts on applications electronic, including telephonically recorded, signatures and handwritten signatures transmitted via any other electronic transmission.

Notes

N.M. Admin. Code § 8.291.410.18

8.291.410.18 NMAC - Rp, 8.291.410.18 NMAC, 1-1-14, Amended by New Mexico Register, Volume XXVI, Issue 08, April 30, 2015, eff. 5/1/2015, Adopted by New Mexico Register, Volume XXVIII, Issue 18, September 26, 2017, eff. 10/1/2017