(1) A recipient in any one of the following categories is eligible to enroll with an HMO contracting with the department:

(a) a FAIM or family-related recipient required by ARM 37.86.5103 to participate in a primary care case management program; or

(b) an SSI recipient or SSI-related recipient required by ARM 37.86.5103 to participate in a primary care case management program.

(2) A recipient who is ineligible to participate in a primary care case management program is not eligible to enroll with an HMO contracting with the department.