N.M. Admin. Code § 8.326.5.13 - COVERED SERVICES

Medicaid covers those case management services for traumatic brain-injured adults which are medically necessary to help these recipients gain access to needed medical, social, educational and other services. Medicaid covers the following specific case management services:

A. identification of programs which are appropriate for a recipient's needs and provision of assistance to the recipient in accessing those programs;

B. assessment of the service needs of recipients to coordinate the delivery of services if multiple providers or programs are involved in the provision of care; and

C. reassessment to ensure that the services obtained are medical necessary and appropriate to meet the recipient's needs.

Notes

N.M. Admin. Code § 8.326.5.13

2/1/95; 10/15/96; 8.326.5.13 NMAC - Rn, 8 NMAC 4.MAD.774.4, 3/1/12