New Mexico Statutes
Chapter 27 - Public Assistance
Article 11 - Medicaid Providers

Section 27-11-1 - Short title. - Chapter 27, Article 11 NMSA 1978 may be cited as...

Section 27-11-2 - Definitions. - As used in the Medicaid Provider and Managed Care Act:...

Section 27-11-3 - Review of medicaid provider or managed care organization; contract remedies; penalties. - A. Consistent with the terms of any contract between the...

Section 27-11-4 - Retention and production of records. - A. Medicaid providers, managed care organizations and their subcontractors shall...

Section 27-11-5 - Rules. - The secretary shall adopt and promulgate rules appropriate to administer,...

Section 27-11-6 - Repealed. - History: Laws 2004, ch. 4, § 1; repealed by Laws...

Section 27-11-7 - Determination of overpayments or credible allegation of fraud; audit findings; sampling; extrapolation limited; notice of right to informal conference and expedited adjudicatory proceeding. - A. The department may audit a medicaid provider or subcontractor...

Section 27-11-8 - Informal conference; corrective action; requirements. - A. A medicaid provider or subcontractor seeking an informal conference...

Section 27-11-9 - Expedited adjudicatory proceedings; requirements. - A. A medicaid provider or subcontractor seeking an expedited adjudicatory...

Section 27-11-10 - Qualifications and selection of hearing officer for expedited adjudicatory proceedings. - A. The hearing officer presiding over the expedited adjudicatory proceeding...

Section 27-11-11 - Costs of expedited adjudicatory proceeding. - A. Each party shall be responsible for its own costs...

Section 27-11-12 - Rights of medicaid provider or subcontractor; preliminary or final determination of overpayment. - A. A medicaid provider or subcontractor may challenge: (1) the...

Section 27-11-13 - Release of suspended payment for services previously rendered; prepayment review; remedial training and education; temporary assistance. - A. The department shall direct the release of a suspended...

Section 27-11-14 - Maintenance of services; payment for ongoing services. - A. Following the referral of a medicaid provider or subcontractor...

Section 27-11-15 - Disposition of recovered medicaid funds. - A. Overpayments collected pursuant to the Medicaid Provider and Managed...

Section 27-11-16 - Credible allegation of fraud; judicial review; substantial evidence required. - A. A credible allegation of fraud determination by the department...

Section 27-11-17 - Award of costs, fees and interest. - A. If a medicaid provider or subcontractor is the prevailing...

Section 27-11-18 - Applicability of Administrative Procedures Act. - A. The department shall be subject to Sections 12-8-2, 12-8-10...