LOOKING FOR ASSISTANCE
The Health Care Authority’s mission is: We ensure that New Mexicans attain their highest level of health by providing whole-person, cost-effective, accessible, and high-quality health care and safety-net services.
Health Facility Licensing and Certification
Health Facility Licensing & Certification (HFLC) is now health facilities and is composed of two bureaus, the Program Operations Bureau and the District Operations Bureau. These two bureaus are responsible for the licensing and certifying of all health facilities in New Mexico.
Together the two bureaus are responsible for establishing, monitoring and enforcing quality standards for over 3500 health facilities and laboratories to assure the health, safety, and wellbeing of residents/patients/clients.
Developing policy and collaborating with providers, consumers, regulatory agencies, state and local ombudsmen, federal, state and local policymakers, and professional associations to assure that quality standards are met. Assuring that the public receives the type of care that promotes their quality of life, their dignity, and their autonomy.
Featured Topics
Some of the most frequently accessed topics in this section are listed below.
- Licensing a Health Facility — Information and instructions on how to apply for a health facility license.
- Certified Nurse Aide Registry — Information on the certified nurse aide registry and training program.
- Clinical Laboratory Improvement Act — How to apply, renew or report a change for a CLIA certification.
- Health Facility Provider Search — Find a health facility survey report.
- Health Facility Dispute Resolution Process — Information is available for assisted living facilities, nursing homes, home health agencies, and for Medicare funded SNF. Visit the page for full details on the dispute process.
CMS Grants Available: CMP Reinvestment Plan Grants
The Centers for Medicare and Medicaid Services (CMS) and DHI is inviting proposals for consideration to use Civil Money Penalty (CMP) Funds in a federal national grant for Nursing Homes.
A CMP is a monetary penalty that CMS may impose against nursing homes for either the number of days or for each instance a nursing home is not in substantial compliance with one or more Medicare and Medicaid participation requirements for long-term care facilities.
A portion of CMPs collected from nursing homes are returned to the states in which CMPs are imposed. State CMP funds may be reinvested to support activities that benefit nursing home residents and that protect or improve their quality of care or quality of life.
CMP funds may be used for (but not limited to) the following:
- Assistance to support and protect residents of a facility that closes or is decertified
- Time-limited expenses incurred in the process of relocating residents to home and community-based settings or another facility when a facility is closed or downsized pursuant to an agreement with the state Medicaid agency
- Projects that support resident and family councils and other consumer involvement in assuring quality care in facilities
- Facility improvement initiatives, such as joint training of facility staff and surveyors, or technical assistance for facilities implementing quality assurance and performance improvement programs.
Civil Money Penalty (CMP) Reinvestment Application Resource Guide
How to apply:
- Complete the CMP Reinvestment application
- Each CMP Grant application submission will be accepted throughout the year. No restrictions on when CMP Grant applications can be submitted.
- Applications should be emailed to CMPgrant@hca.nm.gov
- Application for CMP Funds and Budget template
The Civil Money Penalty Reinvestment Program page on the Centers for Medicare Medicaid Services site provides current information and forms such as the Budget Template, Resource Guide, and Instructions Sample CMP Tracking Sheet (see the “Downloads” section).
Additional Information
State Operations Manual
Please read the Medicare & Medicaid Services State Operations Manual for complete details.
Regulations
Please visit the Regulations page for a complete listing of the rules and regulations which govern the majority of what we do.
Quick Links
Licensed Health Facilities
- Health Facility Reporting System
- Incident Management System Guide for all Licensed Health Care Facilities SFY2023
- Health Facility Complaint Investigation Five Day Follow-up Report Form
- Abuse, Neglect & Exploitation Reporting Poster for Health Facilities
- Abuse, Neglect & Exploitation Reporting Poster for Health Facilities – Spanish Version
- Abuse, Neglect & Exploitation Reporting Poster for Health Facilities – Vietnamese Version
- Abuse, Neglect & Exploitation Reporting Tribal Phone Numbers
- NMAC 8.370.9 — Incident Reporting, Intake, Processing & Training Requirements for Facilities
- Informal Dispute Resolution Committee Operating Rules for Nursing Homes
- Informal Dispute Resolution Committee Operating Rules for Home Health Agencies
- Independent Informal Dispute Resolution Policy & Procedures
- Independent Informal Dispute Resolution Request Form
Search Licensed Health Facilities Survey Report of Findings
Search Medicare Nursing Home Compare
Nursing Home Compare provides details on nursing homes across the country. This includes nursing home inspection results, staffing levels, enforcement actions that the federal government have taken against the nursing homes and how well nursing home residents were treated in specific areas of care.