N.M. Stat. § 27-2-12.6
This is the official text of N.M. Stat. § 27-2-12.6, part of New Mexico’s Stat — part of the compiled statutory law of New Mexico, published by the state as "Stat." Browse the sections below, each linked to its official government source.
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§ 27-2-12.6. Medicaid payments; managed care
Official statutory text
A. The department shall provide for a statewide, managed care system to provide cost-efficient, preventive, primary and acute care for medicaid recipients by July 1, 1995.
B. The managed care system shall ensure:
(1) access to medically necessary services, particularly for medicaid recipients with chronic health problems;
(2) to the extent practicable, maintenance of the rural primary care delivery infrastructure;
(3) that the department's approach is consistent with national and state health care reform principles; and
(4) to the maximum extent possible, that medicaid-eligible individuals are not identified as such except as necessary for billing purposes.
C. The department may exclude nursing homes, intermediate care facilities for individuals with developmental or intellectual disabilities, medicaid in-home and community-based waiver services and residential and community-based mental health services for children with serious emotional disorders from the provisions of this section.
B. The managed care system shall ensure:
(1) access to medically necessary services, particularly for medicaid recipients with chronic health problems;
(2) to the extent practicable, maintenance of the rural primary care delivery infrastructure;
(3) that the department's approach is consistent with national and state health care reform principles; and
(4) to the maximum extent possible, that medicaid-eligible individuals are not identified as such except as necessary for billing purposes.
C. The department may exclude nursing homes, intermediate care facilities for individuals with developmental or intellectual disabilities, medicaid in-home and community-based waiver services and residential and community-based mental health services for children with serious emotional disorders from the provisions of this section.
Status: in_force
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