N.M. Code R. § 8.302.2.7 - DEFINITIONS
A.
"Authorized representative" means the individual designated to
represent and act on behalf of the eligible recipient or 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 eligible recipient
or member.
B.
"Eligible
recipient" means an individual who has met a medical assistance program
(MAP) category of eligibility and receives his or her medical assistance
division (MAD) services through the fee-for-service (FFS) program.
C.
"Member" means a MAP eligible
recipient and who receives his or her MAD services through a HSD contracted
managed care organization (MCO).
D.
"Co-payment" means a fixed dollar amount that a medicaid recipient
must pay directly to a provider for a service, visit or item. A co-payment is
to be charged at the time of service or receipt of the item.
Notes
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