Background

On March 1, 1999 the NM Human Services Department published final regulations for approval and repairs of Augmentative and Alternative Communication (AAC) systems. This action culminates over 5 years of effort spearheaded by the Assistive Technology Program (AT) at the Center for Development & Disability (CDD), the New Mexico Technology Assistance Program (NM TAP), NEWMAAC (New Mexico Association for Augmentative & Alternative Communication) and the Protection and Advocacy System of NM.

The New Mexico Technology Assistance Program (NM TAP), will be providing training and technical assistance to support service providers and consumers in this important funding initiative.

The CDD AT website is providing a Medicaid Funding Packet that includes forms and guidelines necessary to submit an evaluation to the Managed Care Organizations.

Watch this web site for late breaking news and updates.

Medicaid Discussion Forum

Announcing:  Need to discuss experiences / roadblocks / successes or get help with funding for an AAC system?  

You can download the forms and guidelines included in the packet below:

• Introductory Letter: Background on the AAC Medicaid Funding Packet
   

• Background Summary for New Mexico Human Services Department with Procedure Codes
   

• Published Regulations Governing Funding for AAC Systems from New Mexico Human Services Department. Memorandum from Medicaid Assistance Division contains important billing codes that you will need when submitting to MCOs for Medicaid reimbursement.
   

• Evaluation Report Guidelines
   

• Medicaid Evaluation Form: A format for documenting the AAC evaluation. It is highly recommended that everyone complete their evaluation in this format with expansion where necessary. This will provide a common evaluation form for everyone submitting to Medicaid. (Download Word document)
   

• Medicaid 303 Form: This must be included with submissions to Managed Care Organizations or to the Medicaid Assistance Division.
   

• Completion Instructions for 303 Form:  Tips and Guidelines that everyone should be aware of when submitting an evaluation.  
    

• Guidelines for Appealing a Denial of Funding
   

• Specifications for Defining a Medical Necessity
   

• New Mexico Medically Necessary Services:  The following announcement regards the proposed New Mexico Department of Human Resources proposed new definition and application of Medically Necessary Services.
   

• NM Salud HMO Program Contacts
   

• Dr.'s Written Order/Justification
   

• Therapist's Letter/Justification
   

• Family's Letter/Justification

Medicaid Informational Links

New Mexico Human Services Department Medicaid Information

National Medicaid Information

Family Voices: Medicaid in New Mexico

Medicare Information New Mexico Medical Review Association