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STATE PLAN UNDER TITLE XIX OF THE SOCIAL SECURITY ACT State/Territory: NEW MEXICO MEDICAID PROGRAM: REQUIREMENTS RELATING TO COVERED OUTPATIENT DRUGS FOR THE CATEGORICALLY NEEDY 12.a. Prescribed Drugs:
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It is the renewal application form for the 1115 waiver program in New Mexico.
Healthcare providers participating in the 1115 waiver program in New Mexico are required to file this renewal application.
The form must be completed with accurate and up-to-date information regarding the healthcare services provided under the waiver program.
The purpose of the renewal application is to ensure continuation of funding and support for the healthcare services covered under the 1115 waiver program in New Mexico.
Providers must report on patient demographics, services provided, outcomes achieved, and any challenges faced during the previous funding period.
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