New Mexico Statutes
Article 2 - Public Assistance Act
Section 27-2-12.7 - Medicaid; human services department employees; standards of conduct; enforcement.

A. As used in this section:
(1) "business" means a corporation, partnership, sole proprietorship, firm, organization or individual carrying on a business;
(2) "department" means the human services department;
(3) "employee" means any person who has been appointed to or hired for any department office connected with the administration of medicaid funds and who receives compensation in the form of salary;
(4) "employee with responsibility" means an employee who is directly involved in or has a significant part in the medicaid decision-making, regulatory, procurement or contracting process; and
(5) "financial interest" means an interest held by an individual, his spouse or minor child which is:
(a) an ownership interest in business; or
(b) any employment or prospective employment for which negotiations have already begun.
B. No employee with responsibility shall for twenty-four months following the date on which he ceases to be an employee act as agent or attorney for any other person or business in connection with a judicial or administrative proceeding, application, ruling, contract, claim or other matter relating to the medicaid program with respect to which the employee made any investigation, rendered any ruling or was otherwise substantially and directly involved during the last year he was an employee and which was actually pending under his responsibility within that period.
C. No department secretary, income support division director or medical assistance bureau chief or their deputies shall for twelve months following the date on which he ceases to be an employee participate in any manner with respect to a judicial or administrative proceeding, application, ruling, contract, claim or other matter relating to the medicaid program and pending before the department.
D. No employee with responsibility shall participate in any manner with respect to a judicial or administrative proceeding, application, ruling, contract, claim or other matter relating to the medicaid program and involving his spouse, minor child or any business in which he has a financial interest unless prior to such participation:
(1) full disclosure of his relationship or financial interest is made in writing to the secretary of the department; and
(2) a written determination is made by the secretary that the disclosed relationship or financial interest is too remote or inconsequential to affect the integrity of the services of the employee.
E. Violation of any of the provisions of this section by an employee is grounds for dismissal, demotion or suspension. A former employee who violates any of the provisions of this section shall be subject to assessment by the department of a civil money penalty of two hundred fifty dollars ($250) for each violation. The department shall promulgate regulations to provide for an administrative appeal of any assessment imposed.
History: Laws 1980, ch. 86, § 1; 1978 Comp., § 10-16-16, recompiled as 1978 Comp., § 27-2-12.7 by Laws 1997, ch. 112, § 10.
Cross references. — For state assistance to individuals eligible for medicaid, see 27-2-16 NMSA 1978.
Recompilations. — Laws 1997, ch. 112, § 10 recompiled former 10-16-16 NMSA 1978, relating to medicaid and department of human services employees, as 27-2-12.7 NMSA 1978, effective June 20, 1997.

Structure New Mexico Statutes

New Mexico Statutes

Chapter 27 - Public Assistance

Article 2 - Public Assistance Act

Section 27-2-1 - Short title.

Section 27-2-2 - Definitions.

Section 27-2-3 - Standard of need; income determination.

Section 27-2-4 - Eligibility requirements.

Section 27-2-6 - Repealed.

Section 27-2-6.1 - Supplemental postnatal assistance.

Section 27-2-6.2 - Repealed.

Section 27-2-7 - General assistance program; qualifications and payments.

Section 27-2-7.1 - Eligible person entitled to information.

Section 27-2-8 - Repealed.

Section 27-2-9 - Payment for hospital care.

Section 27-2-9.1 - Administration of shelter care supplement.

Section 27-2-10 - Food stamp program.

Section 27-2-11 - Scope of assistance programs.

Section 27-2-12 - Medical assistance programs.

Section 27-2-12.1 - Repealed.

Section 27-2-12.2 - Medical assistance program; eligibility of married individuals.

Section 27-2-12.3 - Medicaid reimbursement; equal pay for equal physicians', dentists', optometrists', podiatrists' and psychologists' services.

Section 27-2-12.4 - Long-term care facilities; noncompliance with standards and conditions; sanctions.

Section 27-2-12.5 - Medicaid-certified nursing facilities; retroactive eligibility; refunds; penalty.

Section 27-2-12.6 - Medicaid payments; managed care.

Section 27-2-12.7 - Medicaid; human services department employees; standards of conduct; enforcement.

Section 27-2-12.8 - Mammograms for medicaid recipients.

Section 27-2-12.9 - Medicaid; personal spending allowances; increases.

Section 27-2-12.10 - Clinical nurse specialists.

Section 27-2-12.11 - Prescription drug waiver program; purpose; eligibility.

Section 27-2-12.12 - Human services department; managed care contract credentialing provisions.

Section 27-2-12.13 - Medicaid reform; program changes.

Section 27-2-12.14 - Brain injury; services authorized.

Section 27-2-12.15 - Medicaid, state children's health insurance program and state coverage initiative program medical home waiver; rulemaking; application for waiver or state plan amendment.

Section 27-2-12.16 - Medicaid recipients; cost-sharing payments for emergency medical services when non-emergency services are indicated.

Section 27-2-12.17 - Qualified state long-term care insurance partnership program; establishment; rulemaking.

Section 27-2-12.18 - Medical assistance; prescription drugs; prior authorization request form; prior authorization protocols.

Section 27-2-12.19 - Former foster-care recipients; medical assistance coverage until age twenty-six.

Section 27-2-12.20 - Crisis triage center; medical assistance reimbursement.

Section 27-2-12.21 - Medical assistance; pharmacy benefits; prescription synchronization.

Section 27-2-12.22 - Incarcerated individuals; medicaid eligibility; county jail technical assistance; presumptive eligibility determiner training and certification.

Section 27-2-12.23 - Medical assistance; prescription drug coverage; step therapy protocols; clinical review criteria; exceptions.

Section 27-2-12.24 - Medical assistance; plan of care; participation required.

Section 27-2-12.25 - Prior authorization for gynecological or obstetrical ultrasounds prohibited.

Section 27-2-12.26 - Qualified medicare beneficiary recipients; medicare part B coverage automatic enrollment.

Section 27-2-12.27 - Medical assistance; managed care organization contracts; applicability of Prior Authorization Act.

Section 27-2-12.28 - Medical assistance; autism spectrum disorder.

Section 27-2-12.29 - Medical assistance; reimbursement for a one-year supply of covered prescription contraceptive drugs or devices.

Section 27-2-12.30 - Pharmacist prescriptive authority services; reimbursement parity.

Section 27-2-12.31 - Heart artery calcium scan coverage.

Section 27-2-13 - Conflict in federal and state laws.

Section 27-2-14 - Continuing effect of regulations and standards.

Section 27-2-15 - Cooperation with United States.

Section 27-2-16 - Compliance with federal law.

Section 27-2-17 - Custodian of funds.

Section 27-2-18 to 27-2-20 - Repealed.

Section 27-2-21 - Assistance not assignable.

Section 27-2-22 - Repealed.

Section 27-2-23 - Third party liability.

Section 27-2-23.1 - Employee Retirement Income Security Act employee health benefit plans; clauses to exclude medicaid coverage prohibited.

Section 27-2-24 - [Federal government entitled to share recovery.]

Section 27-2-25 - Funeral expenses.

Section 27-2-26 - Money received from other sources; duty and liability of funeral director.

Section 27-2-27 - Single state agency; powers and duties.

Section 27-2-28 - Liability for repayment of public assistance.

Section 27-2-29 - Repealed.

Section 27-2-29.1 - Compensation under contingent fee contracts; suspense fund created.

Section 27-2-30 - [Enforcement of support;] orders.

Section 27-2-31 - Judgments and proceeds.

Section 27-2-32 - Duty of agencies to cooperate.

Section 27-2-33 - Repealed.

Section 27-2-34 - Limitations of act.

Section 27-2-35 to 27-2-40 - Repealed.

Section 27-2-41 - Short title.

Section 27-2-42 - Legislative findings; purpose.

Section 27-2-43 - Definitions.

Section 27-2-44 - Indigent catastrophic illness hospital fund created.

Section 27-2-45 - Hospitals; claims for payment.

Section 27-2-46 - Medically indigent patient deductible.

Section 27-2-47 - Department; regulations.