NM Stat § 9-7-6.4 (2021)
2021 New Mexico Statutes|Chapter 9 - Executive Department|Article 7 - Department of Health|Section 9-7-6.4 - Interagency behavioral health purchasing collaborative.

A. There is created the "interagency behavioral health purchasing collaborative", consisting of the secretaries of aging and long-term services; Indian affairs; human services; health; corrections; children, youth and families; finance and administration; workforce solutions; public education; and transportation; the directors of the administrative office of the courts; the New Mexico mortgage finance authority; the governor's commission on disability; the developmental disabilities planning council; the instructional support and vocational rehabilitation division of the public education department; and the New Mexico health policy commission; and the governor's health policy coordinator, or their designees. The collaborative shall be chaired by the secretary of human services with the respective secretaries of health and children, youth and families alternating annually as co-chairs. B. The collaborative shall meet regularly and at the call of either co-chair and shall: (1) identify behavioral health needs statewide, with an emphasis on that hiatus between needs and services set forth in the department of health's gap analysis and in ongoing needs assessments, and develop a master plan for statewide delivery of services; (2) give special attention to regional differences, including cultural, rural, frontier, urban and border issues; (3) inventory all expenditures for behavioral health, including mental health and substance abuse; (4) plan, design and direct a statewide behavioral health system, ensuring both availability of services and efficient use of all behavioral health funding, taking into consideration funding appropriated to specific affected departments; and (5) contract for operation of one or more behavioral health entities to ensure availability of services throughout the state. C. The plan for delivery of behavioral health services shall include specific service plans to address the needs of infants, children, adolescents, adults and seniors, as well as to address workforce development and retention and quality improvement issues. The plan shall be revised every two years and shall be adopted by the department of health as part of the statewide health plan. D. The plan shall take the following principles into consideration, to the extent practicable and within available resources: (1) services should be individually centered and family focused based on principles of individual capacity for recovery and resiliency; (2) services should be delivered in a culturally responsive manner in a home or community-based setting, where possible; (3) services should be delivered in the least restrictive and most appropriate manner; (4) individualized service planning and case management should take into consideration individual and family circumstances, abilities and strengths and be accomplished in consultation with appropriate family, caregivers and other persons critical to the individual's life and well-being; (5) services should be coordinated, accessible, accountable and of high quality; (6) services should be directed by the individual or family served to the extent possible; (7) services may be consumer or family provided, as defined by the collaborative; (8) services should include behavioral health promotion, prevention, early intervention, treatment and community support; and (9) services should consider regional differences, including cultural, rural, frontier, urban and border issues. E. The collaborative shall seek and consider suggestions of Native American representatives from Indian nations, tribes, pueblos and the urban Indian population, located wholly or partially within New Mexico, in the development of the plan for delivery of behavioral health services. F. Pursuant to the State Rules Act [Chapter 14, Article 4 NMSA 1978], the collaborative shall adopt rules through the human services department for: (1) standards of delivery for behavioral health services provided through contracted behavioral health entities, including: (a) quality management and improvement; (b) performance measures; (c) accessibility and availability of services; (d) utilization management; (e) credentialing of providers; (f) rights and responsibilities of consumers and providers; (g) clinical evaluation and treatment and supporting documentation; and (h) confidentiality of consumer records; and (2) approval of contracts and contract amendments by the collaborative, including public notice of the proposed final contract. G. The collaborative shall, through the human services department, submit a separately identifiable consolidated behavioral health budget request. The consolidated behavioral health budget request shall account for requested funding for the behavioral health services program at the human services department and any other requested funding for behavioral health services from agencies identified in Subsection A of this section that will be used pursuant to Paragraph (5) of Subsection B of this section. Any contract proposed, negotiated or entered into by the collaborative is subject to the provisions of the Procurement Code [13-1-28 to 13-1-199 NMSA 1978]. H. The collaborative shall, with the consent of the governor, appoint a "director of the collaborative". The director is responsible for the coordination of day-to-day activities of the collaborative, including the coordination of staff from the collaborative member agencies. I. The collaborative shall provide a quarterly report to the legislative finance committee on performance outcome measures. The collaborative shall submit an annual report to the legislative finance committee and the interim legislative health and human services committee that provides information on: (1) the collaborative's progress toward achieving its strategic plans and goals; (2) the collaborative's performance information, including contractors and providers; and (3) the number of people receiving services, the most frequently treated diagnoses, expenditures by type of service and other aggregate claims data relating to services rendered and program operations. History: Laws 2004, ch. 46, § 8; 2008, ch. 69, § 1. ANNOTATIONSTemporary provisions. — Laws 2011, ch. 5, § 1 established an interagency behavioral health purchasing collaborative and statewide entity pilot project, providing: A. By July 1, 2013 and contingent upon federal approval of any necessary medicaid state plan amendment or waiver, the interagency behavioral health purchasing collaborative shall consider implementing a pilot project that provides for: (1) a network of behavioral health providers, which shall form a partnership with another entity to submit a contract with a duration of at least two years for collaborative approval pursuant to Paragraph (2) of Subsection F of Section 9-7-6.4 NMSA 1978 to provide behavioral health services and to manage care as a regional behavioral health entity pursuant to Paragraph (5) of Subsection B of Section 9-7-6.4 NMSA 1978; (2) a partnership between the network of behavioral health providers and another entity to establish a behavioral health entity that shall entail the network of providers having at least fifty-one percent control of the behavioral health entity; and (3) a pilot project design that establishes the behavioral health entity to meet criteria for licensure as a risk-bearing entity by the insurance division of the public regulation commission. B. As the interagency behavioral health purchasing collaborative deems necessary, it shall coordinate with the behavioral health entity established pursuant to Subsection A of this section to designate what region or regions of the state the entity will serve and conduct a readiness review to ensure that the entity will have the staff, resources, information technology, administrative procedures and other components in place to fully implement the pilot project and successfully deliver behavioral health services in the area to be served by July 1, 2013. C. The interagency behavioral health purchasing collaborative shall amend its existing contract with the current statewide entity to provide, during the period of the pilot project's operation, for the exclusive implementation of the pilot project in designated areas of the state. D. If necessary, the interagency behavioral health purchasing collaborative shall seek federal approval of a state plan amendment or medicaid waiver to carry out the provisions of this section. The 2008 amendment, effective May 14, 2008, added Subsections F through I.