N.M. Admin. Code § 8.313.2.16 - NONCOVERED SERVICES
A.
Medicaid does not cover the costs of ICF-MR services that are not allowable.
See 8.313.3 NMAC, Cost Related Reimbursement of Intermediate Care
Facilities for the Mentally Retarded.
B. Medicaid does not pay for residents with a
primary diagnosis of mental retardation who are receiving care in a general
nursing facility setting. Coverage of these residents is included only when
they are residing in an ICF-MR facility or in a nursing facility when they have
a medical condition which by and of itself would justify NF care.
Notes
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