The New Mexico Income Support Division (ISD) has replaced the MAD 309 and 310 forms with the MAD 778. MAD 310 forms are no longer accepted. Per NMAC 8.325.10.16 , claims for services to a recipient who is a non-citizen are reviewed by the Medical Assistance Division (MAD), or its designee before

The MAD 310 functions as an approval and is required to be submitted with the claim for rendered emergency service(s). The New Mexico Income Support Division (ISD) will be replacing the current MAD 309 and 310 forms with the MAD 778. The …

Provider submissions or requests for review for EMSA must be accompanied by form MAD 310 or the ASPEN generated Notice of Case Action, the appropriate billing form (UB-04 or CMS 1500), summary of charges, and the pertinent medical records to determine the emergency medical condition that required immediate medical attention.

Deletion and Removal of Forms MAD 309 and MAD 310; Introduction of MAD 778 Decision for EMSA Application, 3/28/2019 19-02 Revised MAD 303 Form, Effective 04/01/2019

Referral for Eligibility Determination form MAD 308 and refer the individual to the local Income Support Division (ISD) office. The individual must take the referral form and apply for coverage at the ISD office no later than the last day of the third month following the month in which the services were received. A copy of the form may be found at

8.310.3.10 COVERED SERVICES: MAD covers services and procedures that are medically necessary for the diagnosis and treatment of an illness or injury as indicated by the MAP eligible recipient’s condition.

When submitting EMSNC claims, please include the following documentation: 1. MAD-310 or MAD-778 form (Notification of Approval of Application for Emergency Medical Services for Non-Citizens) or NOCA (Notice of Case. Action) from local Income Support Division office. 2. Pertinent medical records to determine the emergency medical condition.

To request a reconsideration for an EMSNC claim that has been denied by Comagine Health, please call Comagine Health at 866-962-2180.

MAD-310RASは、X・Y・Z軸座標のメモリ機能を搭載し、いつでも誰でも同じ測定値になるよう再現性を追求しました。 当社独自の超極細プローブFC-075（幅0.6mm×厚さ0.28mm）も使用でき、磁束の近接測定に優れます。 超極細プローブFC-075（幅0.6mm×厚さ0.28mm）が使用できます。 MAD-310R/310RAは、X軸に回転角度（Deg）、Y軸に表面磁束密度（Tesla）、Z軸に高さ（mm）の位置とする3次元表示を行います。 また、X軸に周波数（Hz）、Y軸に磁 …

2020年8月27日 · MAD-310R/310RA/310Aは着磁された円形筒マグネットの磁束分布を自動測定し着磁波形、各極の磁束量、着磁角度、面積を解析なマグネットアナライザーです。 X軸に回転角度（Deg）、Y軸に表面磁束密度（Tesla）、Z軸に高さ（mm）の位置とする3次元表示を行います。 また、X軸に周波数（Hz）、Y軸に磁束（dB）、Z軸に高さ方向（mm）の位置とする周波数3次元表示も可能です。 2次元（X、Y軸のみ）としても使用でき、3次元波形から2次元波 …