Section 12. Eligible Recipients

Case management services are available for eligible medicaid recipients who meet all of the following criteria: A. individuals who are eighteen (18) years of age or older; B. individuals who are residents of the state of New Mexico; C. individuals who are not residents of an institution; and D. individuals who through investigation are found to be abused, neglected or exploited; abuse is defined as knowingly, intentionally or negligently and without justifiable cause inflicting physical pain, injury or mental anguish, or the intentional deprivation by a caretaker or other person of services necessary to maintain the mental and physical health of an adult; neglect is defined as failure of the caretaker of an adult to provide basic needs such as clothing, food, shelter, supervision and care for the physical and mental health for that adult or failure by an adult to provide such basic needs for him/herself; exploitation is defined as an unjust or improper use of an adult’s resources for another’s profit or advantage, pecuniary or otherwise.