PERSONAL CARE SERVICE MEDICAID REIMBURSEMENT

SB 220 sets new minimum Medicaid reimbursement rates for personal care services in New Mexico: $23.50 per hour for consumer-delegated services and $19.78 per hour for consumer-directed services. It requires personal care providers receiving Medicaid payments to spend at least 70% of those funds on direct care worker costs, including wages, benefits, training, and supervision. The bill appropriates $51.4 million to update the reimbursement schedule and mandates providers to maintain records proving compliance. This directly affects personal care service agencies that contract with Medicaid to support individuals with daily living needs.