New Mexico Nursing Facility Transition Agency Policy Manual

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The New Mexico Nursing Facility Transition Agency Policy Manual establishes a comprehensive framework for agencies supporting individuals transitioning from nursing facilities to community-based living settings in New Mexico. This manual aligns with the New Mexico Administrative Code (NMAC), specifically Title 8, Chapter 314 (Medicaid Managed Care), and relevant provisions of the Centers for Medicare & Medicaid Services (CMS) regulations, including 42 CFR Part 441 Subpart G, which governs Home and Community-Based Services (HCBS) waivers.
It includes detailed policies on eligibility and intake procedures, person-centered planning, service coordination, risk assessment and mitigation, client rights and responsibilities, provider qualifications, quality assurance, and documentation standards. The manual also outlines protocols for ensuring compliance with the New Mexico Department of Health (NMDOH), the Human Services Department (HSD), and Managed Care Organization (MCO) contractual requirements.