Form MAD773 Centennial Care Involuntary Termination Request for Self-directed Community Benefits (Sdcb) to Agency Based Community Benefits (Abcb) - New Mexico

What Is Form MAD773?

This is a legal form that was released by the New Mexico Human Services Department - a government authority operating within New Mexico. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is MAD773?
A: MAD773 is a form used for requesting a change from self-directed community benefits to agency-based community benefits in the Centennial Care program in New Mexico.

Q: What is Centennial Care?
A: Centennial Care is a Medicaid program in New Mexico that provides healthcare coverage to eligible individuals and families.

Q: What are self-directed community benefits (Sdcb)?
A: Self-directed community benefits (Sdcb) allow individuals to choose and manage their own services and supports under the Centennial Care program.

Q: What are agency-based community benefits (Abcb)?
A: Agency-based community benefits (Abcb) involve receiving services and supports through a designated agency or provider.

Q: When would someone request a change from Sdcb to Abcb?
A: Someone might request a change from Sdcb to Abcb if they prefer to receive services and supports through a designated agency or provider, rather than managing them directly.

Q: How can someone request an involuntary termination for Sdcb?
A: Someone can request an involuntary termination for Sdcb by completing the MAD773 form.

Q: Is the MAD773 form specific to New Mexico?
A: Yes, the MAD773 form is specific to the Centennial Care program in New Mexico.