MedicaidAdministrativeMedium impact
Supplement 21-05: ICF/IID Level of Care Procedures & Discharges
New Mexico Medicaid·NM · Psychiatry, General Practice·Medical Policy
Effective date
Oct 18, 2021
We identified it
Jun 21, 2026
Summary
New Mexico Medicaid has streamlined ICF/IID Level of Care submission processes and implemented mandatory discharge notification requirements. Providers must now notify the state within 24 hours of patient discharges using specific forms and procedures.
Action Required
Immediately: ICF/IID providers must establish process to notify New Mexico MAD/ESPB within 24 hours of all client discharges via fax (505) 827-3138 or secure email. Use MAD 378 form with Section A Box 1 marked 'Discharge' for community discharges or 'Transfer' for DDW transfers. Only complete Sections A and B. Track LOC abstract submissions to stay within 10 late submissions per calendar year limit to avoid retroactive review denials.