New Mexico § 27-2-12.22 - Incarcerated individuals; medicaid eligibility; county jail technical assistance; presumptive eligibility determiner training and certification

§ 27-2-12.22. Incarcerated individuals; medicaid eligibility; county jail technical assistance; presumptive eligibility determiner training and certification

A. Incarceration shall not be a basis to deny or terminate eligibility for medicaid. B. Upon release from incarceration, a formerly incarcerated individual shall remain

eligible for medicaid until the individual is determined to be ineligible for medicaid

on grounds other than incarceration. C. An incarcerated individual who was not enrolled in medicaid upon the date that

the individual became incarcerated shall be permitted to submit an application for

medicaid during the incarcerated individual's period of incarceration. D. The provisions of this section shall not be construed to abrogate: (1) any deadline that governs the processing of applications for medicaid pursuant

to existing federal or state law; or (2) requirements under federal or state law that the human services department [health

care authority department] be notified of changes in income, resources, residency

or household composition. E. The provisions of this section shall not require the human services department

[health care authority department] to pay for services on behalf of any incarcerated

individual, except as permitted by federal law. F. A correctional facility shall: (1) inform the human services department [health care authority department] when an

eligible individual is incarcerated; (2) facilitate, with assistance from the department, eligibility determinations for

medicaid during the incarcerated individuals' incarceration or upon release; (3) notify the department upon an eligible individual's release; and (4) facilitate the department's or any department contractor's provision of care coordination

pursuant to the provisions of Section 2 of this 2018 act. G. Upon the written request of a county, the department shall provide a behavioral

health screening tool to facilitate screenings performed in accordance with the provisions

of Subsection A of Section 2 of this 2018 act, technical assistance and training and

certification of county jail presumptive eligibility determiners to a county jail. H. The secretary of human services shall adopt and promulgate rules consistent with

this section. I. As used in this section: (1) “ care coordination ” means an assessment for health risks and the creation of a plan of care to address

an individual's comprehensive health needs, including access to physical health care

and mental health services; substance use disorder treatment; and transportation

services; (2) “ eligibility ” means a finding by the human services department [health care authority department]

that an individual has met the criteria established in state and federal law and the

requirements established by department rules to enroll in medicaid; (3) “ incarcerated individual ” means an individual, the legal guardian or conservator of an individual or, for

an individual who is an unemancipated minor, the parent or guardian of the individual,

who is confined in any of the following correctional facilities: (a) a state correctional facility; (b) a privately operated correctional facility; (c) a county jail; (d) a privately operated jail; (e) a detention facility that is operated under the authority of the children, youth

and families department and that holds the individual pending a court hearing; or (f) a facility that is operated under the authority of the children, youth and families

department and that provides for the care and rehabilitation of an individual who

is under eighteen years of age and who has committed an act that would be designated

as a crime under the law if committed by an individual who is eighteen years of age

or older; (4) “ medicaid ” means the joint federal-state health coverage program pursuant to Title 19 or Title

21 of the federal Social Security Act and rules promulgated pursuant to that act;

and (5) “ unemancipated minor ” means an individual who is under eighteen years of age and who: (a) is not on active duty in the armed forces; and (b) has not been declared by court order to be emancipated.