New Mexico Statutes
Article 11 - Medicaid Providers
Section 27-11-1 - Short title.

Chapter 27, Article 11 NMSA 1978 may be cited as the "Medicaid Provider and Managed Care Act".
History: Laws 1998, ch. 30, § 1; 2019, ch. 215, § 1.
The 2019 amendment, effective January 1, 2020, changed "This act" to "Chapter 27, Article 11 NMSA 1978", and after "Medicaid Provider", added "and Managed Care".
Severability. — Laws 2019, ch. 215, § 19, provided that if any part or application of this act is held invalid, the remainder or its application to other situations or persons shall not be affected.
Temporary provisions. — Laws 2019, ch. 215, § 18 provided that as of the effective date of this act, all references in law to the Medicaid Provider Act shall be deemed to be references to the Medicaid Provider and Managed Care Act.

Structure New Mexico Statutes

New Mexico Statutes

Chapter 27 - Public Assistance

Article 11 - Medicaid Providers

Section 27-11-1 - Short title.

Section 27-11-2 - Definitions.

Section 27-11-3 - Review of medicaid provider or managed care organization; contract remedies; penalties.

Section 27-11-4 - Retention and production of records.

Section 27-11-5 - Rules.

Section 27-11-6 - Repealed.

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.

Section 27-11-8 - Informal conference; corrective action; requirements.

Section 27-11-9 - Expedited adjudicatory proceedings; requirements.

Section 27-11-10 - Qualifications and selection of hearing officer for expedited adjudicatory proceedings.

Section 27-11-11 - Costs of expedited adjudicatory proceeding.

Section 27-11-12 - Rights of medicaid provider or subcontractor; preliminary or final determination of overpayment.

Section 27-11-13 - Release of suspended payment for services previously rendered; prepayment review; remedial training and education; temporary assistance.

Section 27-11-14 - Maintenance of services; payment for ongoing services.

Section 27-11-15 - Disposition of recovered medicaid funds.

Section 27-11-16 - Credible allegation of fraud; judicial review; substantial evidence required.

Section 27-11-17 - Award of costs, fees and interest.

Section 27-11-18 - Applicability of Administrative Procedures Act.