2009 New Mexico Statutes
Chapter 27 - Public Assistance.
Article 2 - Public Assistance Act
Section 27-2-12.6 - Medicaid payments; managed care.

27-2-12.6. Medicaid payments; managed care.

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 the mentally retarded, 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.