N.M. Stat. § 27-2-12.22
Incarcerated persons; 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 person shall remain
eligible for medicaid until the person is determined to be ineligible for medicaid on
grounds other than incarceration.
C. An incarcerated person who was not enrolled in medicaid upon the date that the
person became incarcerated shall be permitted to submit an application for medicaid
during the incarcerated person'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 authority be notified of
changes in income, resources, residency or household composition.
E. The provisions of this section shall not require the authority to pay for services on
behalf of any incarcerated person except as permitted by federal law.
F. A correctional facility shall:
(1)
inform the authority when an eligible person is incarcerated;
(2)
facilitate, with assistance from the authority, eligibility determinations for
medicaid during the incarcerated person's incarceration or upon release;
(3)
notify the authority upon an eligible person's release; and
(4)
facilitate the authority's or any authority contractor's provision of care
coordination pursuant to the provisions of Section 33-1-22 NMSA 1978.
G. Upon the written request of a county, the authority shall provide a behavioral
health screening tool to facilitate screenings performed in accordance with the
provisions of Subsection A of Section 33-1-22 NMSA 1978, technical assistance and
training and certification of county jail presumptive eligibility determiners to a county jail.
H. The secretary 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 a person'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 authority that a person has met the
criteria established in state and federal law and the requirements established by
authority rules to enroll in medicaid;
(3)
"incarcerated person" means a person, the legal guardian or conservator
of a person or, for a person who is an unemancipated minor, the parent or guardian of
the person, 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 person 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 a person 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 a person 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 a person 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.