Medicaid Providers | Midpage

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New Mexico Statutes Annotated 1978

11

Medicaid Providers

State of New Mexico

27-11-1Short title 27-11-2Definitions 27-11-3Review of medicaid provider or managed care organization; contract remedies; penalties 27-11-3.1Hospital payment rates; managed care organizations; negotiated rates 27-11-4Retention and production of records 27-11-5Rules 27-11-7Determination of overpayments or credible allegation of fraud; audit findings; sampling; extrapolation limited; notice of right to informal conference and expedited adjudicatory proceeding 27-11-8Informal conference; corrective action; requirements 27-11-9Expedited adjudicatory proceedings; requirements 27-11-10Qualifications and selection of hearing officer for expedited adjudicatory proceedings 27-11-11Costs of expedited adjudicatory proceeding 27-11-12Rights of medicaid provider or subcontractor; preliminary or final determination of overpayment 27-11-13Release of suspended payment for services previously rendered; prepayment review; remedial training and education; temporary assistance 27-11-14Maintenance of services; payment for ongoing services 27-11-15Disposition of recovered medicaid funds 27-11-16Credible allegation of fraud; judicial review; substantial evidence required 27-11-17Award of costs, fees and interest 27-11-18Applicability of Administrative Procedures Act