N.M. Admin. Code § 8.370.21.7

Current through Register Vol. 35, No. 23, December 10, 2024

Section 8.370.21.7 - DEFINITIONS

For purposes of these regulations, the following shall apply:

A."Client" means any person who is requesting or receiving services from one or more service providers subject to these requirements.

B."HCA" means the New Mexico health care authority.

C."Developmental disability waiver (DDW)" means a program offering community based services under the administration of the HCA long term services division for persons eligible based on the criteria described in Subsection B of 8.290.400.10 NMAC.

D."Disabled & elderly waiver (D&EW)" means a program offering community based services under the administration of the MAD for persons eligible based on the criteria described in Subsection A of 8.290.400.10 NMAC.

E."Family infant and toddler (FIT)" means a program offering community based services under the administration of the HCA long term services division for persons eligible based on the criteria described in 7.30.8 NMAC.

F."MAD" means the medical assistance division of the New Mexico health care authority.

G."Medically fragile waiver (MFW)" means a program offering community based services under the administration of the HCA long term services division for persons eligible based on the criteria described in Subsection C of 8.290.400.10 NMAC.

H."Provider" means a person, organization or legal entity under contract with HCA to provide services to clients eligible for services under one or more of the following programs: developmental disability waiver (DDW), disabled and elderly waiver (D&EW), medically fragile waiver (MFW); or traumatic brain injury (TBI) and any additional programs that may require provider compliance with these requirements.

I."Timely access" means physical or in-person, electronic or other access needed by authorized representatives of the HCA to conduct a quality review activity. Timely access means immediate access upon request. If immediate access is not possible for a legitimate reason, the access shall be as prompt as reasonably possible.

J."Traumatic brain injury provider (TBI)" means a person, organization or other legal entity as specified in Section 24-124 NMSA 1978, operating under the administration of the HCA long term services division, which generally offers community based services to eligible clients.

N.M. Admin. Code § 8.370.21.7

Adopted by New Mexico Register, Volume XXXV, Issue 12, June 25, 2024, eff. 7/1/2024