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- Regulations
- 2023 Edition
- Title 8. Social Services
- Chapter 310. Health Care Professional Services
- Part 9. Rural Health Clinic Services
N.M. Code R. § 8.310.9.13 Non-Core Medical Services
Library | New Mexico Administrative Code |
Edition | 2023 |
Currency | Current through Register Vol. 34, No. 24, December 19, 2023 |
Citation | N.M. Code R. § 8.310.9.13 |
Year | 2023 |
Core medical services, as defined in the Rural Health Clinic Act, performed at rural health clinics are included in the encounter rate for purposes of medicaid reimbursement. The following non-core services may be provided in rural clinics, however, reimbursement for these services is not included in the encounter rate:
A. optometric services, including vision examinations and eyeglasses dispensing;
B. hearing aid dispensing and related evaluations;
C. psychological services;
D. rural health drug services; and
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(1) pharmacy services are covered by medicaid
if the rural health clinic obtains a separate pharmacy provider number; a
separate New Mexico medical assistance program provider participation
application must be submitted for pharmacy services and be approved by
MAD;.
-
(2) pharmacy dispensing
services must be billed with the separate pharmacy provider number;.
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(3) the rural health clinic pharmacy must be
licensed by the state pharmacy board; see 8.324.4 NMAC,
E.
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(1) Certified rural health clinics may
participate as rural health dental providers if they obtain a separate dental
provider numbers. A separate New Mexico medical assistance program provider...
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