Form MAD070 Medicaid Presumptive Eligibility Authorization - New Mexico

Form MAD070 Medicaid Presumptive Eligibility Authorization - New Mexico

What Is Form MAD070?

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 MAD070?
A: MAD070 is a Medicaid Presumptive Eligibility Authorization form in New Mexico.

Q: What is Medicaid Presumptive Eligibility?
A: Medicaid Presumptive Eligibility is a temporary coverage that allows individuals to receive Medicaid benefits while their full application is being processed.

Q: Who is eligible for Medicaid Presumptive Eligibility in New Mexico?
A: In New Mexico, individuals who are pregnant, children, or parents/caretaker relatives may be eligible for Medicaid Presumptive Eligibility.

Q: How long does Medicaid Presumptive Eligibility last in New Mexico?
A: Medicaid Presumptive Eligibility in New Mexico lasts for 60 days or until a full eligibility determination is made, whichever comes first.

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Form Details:

  • Released on June 18, 2018;
  • The latest edition provided by the New Mexico Human Services Department;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form MAD070 by clicking the link below or browse more documents and templates provided by the New Mexico Human Services Department.

Download Form MAD070 Medicaid Presumptive Eligibility Authorization - New Mexico

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