[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-282083-105":53,"doc-detail-282083-en":127},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","8-social-services-chapter-308-managed-care-program-part-12-community-benefit","8 Social Services - Chapter 308 Managed Care Program - Part 12 Community Benefit","","Managed care program rule covering the community benefit (CB) service portion for the general public under New Mexico’s Medicaid and related health care programs. Defines the issuing agency, scope, statutory authority framework, permanence, and effective date requirements. Establishes objectives and key terminology, including agency-based and self-directed community benefit approaches, care coordination concepts, authorized representatives, budgeting, comprehensive care plans, and comprehensive needs assessments, plus Electronic Visit Verification and eligibility conditions.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":46,"@type":70,"position":76},"https://docshare.wps.com/template/paper-templates/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/8-social-services-chapter-308-managed-care-program-part-12-community-benefit/282083/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/8-social-services-chapter-308-managed-care-program-part-12-community-benefit/282083.png","ImageObject",442,249,{"name":88,"@type":89},"Nguyễn Văn Học","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-11","2026-09-16",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",8,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What is the scope of this managed care program rule?","Question",{"text":109,"@type":110},"The rule applies to the general public.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"What is the statutory authority for the program described in this section?",{"text":114,"@type":110},"New Mexico’s Medicaid and other health care programs are administered under federal regulations under Title XIX of the Social Security Act and/or state statute.",{"name":116,"@type":107,"acceptedAnswer":117},"What are Electronic Visit Verification (EVV) and its purpose?",{"text":118,"@type":110},"EVV is a telephone and computer-based system that electronically verifies selected HSD service visits and records the precise time services begin and end.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},282083,1789570131,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":45,"category_name":46,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":136,"language":137,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":138,"faqs":139,"seo_title":140,"seo_description":61,"update_tm":126,"read_time":141},1374402739827,"https://ap-avatar.wpscdn.com/avatar/14000c97e7351f1a627?x-image-process=image/resize,m_fixed,w_180,h_180&k=1787885694763230660","TITLE 8 SOCIAL SERVICES  \nCHAPTER 308 MANAGED CARE PROGRAM  \nPART 12 COMMUNITY BENEFIT  \n8.308.12.1 ISSUING AGENCY: New Mexico Human Services Department (HSD) .  \n[8.308.12.1 NMAC-Rp, 8.308.12.1 NMAC, 3/1/2017]  \n8.308.12.2 SCOPE: This rule applies to the general public.  \n[8.308.12.2 NMAC-Rp, 8.308.12.2 NMAC, 3/1/2017]  \n8.308.12.3 STATUTORY AUTHORITY: The New Mexico medicaid program and other health care programs are administered pursuant to regulations promulgated by the federal department of health and human services under Title XIX of the Social Security Act as amended or by state statute. See Section 27-1-12 et seq., NMSA1978 .  \n[8.308.12.3 NMAC-Rp, 8.308.12.3 NMAC, 3/1/2017]  \n8.308.12.4 DURATION: Permanent.  \n[8.308.12.4 NMAC-Rp, 8.308.12.4 NMAC, 3/1/2017]  \n8.308.12.5 EFFECTIVE DATE: March 1, 2017, unless a later date is cited at the end of a section.[8.308.12.5 NMAC-Rp, 8.308.12.5 NMAC, 3/1/2017]  \n8.308.12.6 OBJECTIVE: The objective of this rule is to provide instructions for the service portion of the New Mexico medical assistance division (MAD) programs.  \n[8.308.12.6 NMAC-Rp, 8.308.12.6 NMAC, 3/1/2017]  \n8.308.12.7 DEFINITIONS:  \nA. Agency based community benefit (ABCB): The community benefit (CB) services offered to a member who does not wish to self-direct his or her CB services.  \nB. ABCB care plan: For a member who is participating in the ABCB approach, the care plan outlines the specific community benefit services that the member and the care coordinator have identified as needed services through the comprehensive needs assessment (CNA) .  \nC. Authorized representative: The individual designated to represent and act on the member’s behalf. The member or authorized representative must provide formal documentation authorizing the named individual or individuals to access the identified case information for a specified purpose and time frame. An authorized representative may be an attorney representing a person or household, a person acting under the authority of a valid power of attorney, a guardian, or any other individual or individuals designated in writing by the member.  \nD. Budget: The maximum budget allotment available to a self-directed community benefit (SDCB) member, determined by his or her CNA. Based on this maximum amount, the eligible member will develop a care plan in collaboration with their support broker to meet his or her assessed functional, medical and habilitative needs to enable that member to remain in the community.  \nE. Care coordinator: The care coordinator provides care coordination activities that comply with all state and federal requirements. This includes, but is not limited to: assigning an appropriate care coordination level; performing a CNA a minimum of annually to determine physical, behavioral and long-term care needs; developing a comprehensive care plan and budget based on those needs; and delivering on-going care coordination services based on the member’s assessed need and in accordance with the care plan and contractual obligations.  \nF. Community benefits (CB): Services that allow a member to receive care in his or her home or in the community as an alternative to being placed in a long-term care facility. Services are intended to supplement natural supports and are not available 24-hours per day.  \nG. Comprehensive care plan: A comprehensive plan that includes community benefit services that meet the member’s long-term, physical and behavioral health care needs which must include, but is not limited to: the amount, frequency and duration of the community benefit services, the cost of goods and services; the type of provider who will furnish each service; other services the member will access; and the member’s available supports that will complement community benefit services in meeting the member’s needs. The member works with his or her care coordinator, support broker or both to develop a care plan which is submitted to the managed care organization (MCO) for rev","cbCaid2tnv8tUson","https://ap.wps.com/l/cbCaid2tnv8tUson","pdf",168114,20,"English","# 8 SOCIAL SERVICES\n## CHAPTER 308 MANAGED CARE PROGRAM\n### PART 12 COMMUNITY BENEFIT\n## 8.308.12.1 ISSUING AGENCY\n## 8.308.12.2 SCOPE\n## 8.308.12.3 STATUTORY AUTHORITY\n## 8.308.12.4 DURATION\n## 8.308.12.5 EFFECTIVE DATE\n## 8.308.12.6 OBJECTIVE\n## 8.308.12.7 DEFINITIONS","[{\"question\":\"What is the scope of this managed care program rule?\",\"answer\":\"The rule applies to the general public.\"},{\"question\":\"What is the statutory authority for the program described in this section?\",\"answer\":\"New Mexico’s Medicaid and other health care programs are administered under federal regulations under Title XIX of the Social Security Act and/or state statute.\"},{\"question\":\"What are Electronic Visit Verification (EVV) and its purpose?\",\"answer\":\"EVV is a telephone and computer-based system that electronically verifies selected HSD service visits and records the precise time services begin and end.\"}]","8 Social Services - Chapter 308 Managed Care Program - Part 12 Community Benefit | PDF",7]