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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.
Program Operations Bureau – Publications
formal Dispute Resolution Committee Operating Rules for Nursing Homes Program Operations – Policies, Protocols & Procedures January 30, 2024
This document describes the process for requesting an informal dispute resolution hearing for Nursing Homes.
Informal Dispute Resolution Committee Operating Rules for Home Health Agencies Program Operations – Policies, Protocols & Procedures January 30, 2024
This document describes the process for requesting an informal dispute resolution hearing for Home Health Agencies.
Civil Money Penalty (CMP) Reinvestment Application Resource Guide Program Operations – Guide January 18, 2024
A civil money penalty (CMP) is a monetary penalty the Centers for Medicare & Medicaid Services (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.
COVID-19 Testing Guidance for Assisted Living Facilities Program Operations – Guide January 19, 2021
COVID-19 Testing Guidance for Assisted Living Facilities
Nurse Aide Registry Test Fee Rates Program Operations – General June 26, 2018
Nurse Aide Registry Test Fee Rates
Independent Informal Dispute Resolution Policy & Procedures Program Operations – Policies, Protocols & Procedures August 1, 2016
These are the official policies and procedures for the independent informal dispute resolution process.
Live Blood Cell Analysis Under the Clinical Laboratory Improvement Act Program Operations – General September 23, 2015
Live Blood Cell Analysis is a test which is used for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or assessment of the health of human beings. The Health Care Financing Administration (now the Centers for Medicare & Medicaid Services) Office of General Counsel determined in August, 1997, that Live Blood Cell Analysis was subject to all Clinical Laboratory Improvement Act requirements.
Clinical Laboratory Improvement Act Historical Information Program Operations – General May 18, 2015
The Clinical Laboratory Improvement Act began in the late 1960’s when problems arose in the cytology laboratories that read PAP smears. The personnel in these laboratories were overworked and had a very high error rate. In 1967, the Clinical Laboratory Improvement Amendment was passed and the first laboratory regulations were born. These regulations primarily covered independent and hospital laboratories.
Independent Informal Dispute Resolution Request Form Program Operations – Form January 31, 2013
Use this form to request an independent informal dispute resolution hearing.