New Mexico Statutes
Article 11 - Medicaid Providers
Section 27-11-18 - Applicability of Administrative Procedures Act.

A. The department shall be subject to Sections 12-8-2, 12-8-10 through 12-8-13, 12-8-15 and 12-8-16 NMSA 1978 for expedited adjudicatory proceedings as provided by the Medicaid Provider and Managed Care Act.
B. Sections 12-8-2, 12-8-10 through 12-8-13, 12-8-15 and 12-8-16 NMSA 1978 apply to Sections 5 [22-11-7 NMSA 1978], 7 [27-11-9 NMSA 1978] through 11 [27-11-13 NMSA 1978] and 14 [27-11-16 NMSA 1978] of this 2019 act.
History: Laws 2019, ch. 215, § 16.
Effective dates. — Laws 2019, ch. 215, § 20 made Laws 2019, ch. 215 effective January 1, 2020.
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.

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Section 27-11-6 - Repealed.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.