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.
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Health Facility Dispute Resolution Process
All health facilities have the right the dispute the findings of a survey which results in intermediate sanctions. The type of dispute resolution process available depends on the type of health facility.
Intermediate Sanctions
Measures imposed on a facility for violations of applicable licensing laws and regulations other than license revocation, suspension, denial of license renewal, or loss of certification.
A list of intermediate sanctions include the following.
- Directed Plan of Correction
- Facility Monitors
- Temporary Management
- Restricted Admissions or Provision of Services
- Reduction of Licensed Capacity
- Civil Monetary Penalty
Hearing Requests
All health facilities have the right to the request the following.
- A formal hearing to dispute the results of a survey which results in intermediate sanctions.
- An informal review of their survey findings.
NOTE:
Informal Dispute Resolution
An assisted living facility, nursing home, or home health agency may request a hearing by using Informal Dispute Resolution (IDR).
Independent Informal Dispute Resolution
A Medicare funded Skilled Nursing facilities or a dually (Medicare and Medicaid) participating SNF/NF may request a hearing by using Independent Informal Dispute Resolution (IIDR).