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New Mexico Administrative Code

Part 17

Grievance Procedures

State of New Mexico

1Issuing Agency 2Scope 3Statutory Authority 4Duration 5Effective Date 6Objective 7Definitions 8Computation of Time 9General Requirements Regarding Grievance Procedures 10Information About Grievance Procedures 11ReservedRepealed 12Notice of Initial Determination 13Preliminary Determination of Grievance 14Internal First Level Review of Adverse Determinations 15Notice Following First Level Internal Review of Adverse Determinations 16Internal Panel Review of Adverse Determinations 17Notice of Internal Panel Review Decision 18Additional Review by Entities Subject to the New Mexico Health Care Purchasing Act 19Iro Review of an Adverse Determination 20N.M. Code R. § 13.10.17.20 21Initiating an Iro Review of an Adverse Determination 22Timeframes and Processes for Iro Review 23The Final Decision of the Iro and Grievant’s Right to Hearing After Final Iro Decision 24Superintendent’s Hearing Procedures for Adverse Determinations 25Independent Co-hearing Officers (Icos)26Superintendent’s Decision on External Review of Adverse Determination 27Internal Review of Administrative Grievances 28Reconsideration of Internal Review of Administrative Grievance 29Decision of Reconsideration Committee 30External Review of Administrative Grievances by Superintendent 31Requirements for External Review of Administrative Grievance 32Acknowledgement of Request for External Review of Administrative Grievance by Superintedent 33Review of Administrative Grievance by Superintendent 34Confidentiality of a Grievant’s Records and Medical Information 35Record of Grievances