New Mexico Administrative Code › Title 7 - HEALTH › Chapter 5 - VACCINATIONS AND IMMUNIZATIONS › Part 4 - VACCINE PURCHASING FUND › Section 7.5.4.10 - PROCESS AND PROCEDURES

Current through Register Vol. 35, No. 13, July 16, 2024
A. No
				later than July 1, 2015, and July 1 of each year thereafter, the department
				shall estimate the amount to be expended annually by the department to
				purchase, store, and distribute vaccines recommended by the advisory committee
				on immunization practices to all insured children in the state, including a
				reserve of 10% of the amount estimated.
B. By the due date established by the office
				of the superintendent, but no later than August 15, 2015, each health insurer
				and group health plan shall report to the office of the superintendent's
				director of life and health, P.O. Box 1689, Santa Fe, NM 87504, the number of
				children it insured who were under the age of 19 as of December 31, 2014,
				excluding from such reports children who are enrolled in medicaid or in any
				medical assistance program administered by the department, or the human
				services department, and children who are American Indian or Alaska Natives.
				All such reports to the office of the superintendent shall be copied to the
				department at vpa.fund@state.nm.us .
C. By the due date established by the office
				of the superintendent, but no later than July 1 of each year subsequent to
				August 15, 2015, each health insurer and group health plan shall annually
				report to the office of the superintendent's director of life and health, P.O.
				Box 1689, Santa Fe, NM 87504, the number of children it insures who will be
				under the age of 19 as of December 31 of the previous year, excluding from such
				reports children who are enrolled in medicaid or in any medical assistance
				program administered by the department, or the human services department, and
				children who are American Indian or Alaska Natives. All such reports to the
				office of the superintendent shall be copied to the department at
				vpa.fund@state.nm.us .
D. Each
				health insurer and group health plan, when reporting number of children
				pursuant to this section, shall also provide a designated point of contact to
				the department and to the office of the superintendent to include: name, title,
				address, e-mail address, and office phone number no later than August 15, 2015,
				and by July 1 of each subsequent year. In the event that the point of contact
				changes prior to the billing cycle referenced in the table below, then an
				updated point of contact shall be provided to the department and the office of
				the superintendent as soon as practicable after the change occurs, but no later
				than 30 days after the change.
E.
				The annual amount to be reimbursed by each health insurer or group health plan
				shall be a fraction, the denominator of which is the total number of insured
				children reported by all health insurers and group health plans and the
				numerator of which is the number of insured children reported by such health
				insurer or group health plan, multiplied by the total amount as determined by
				the department to be expended annually in the corresponding year. Payments
				shall be remitted to the department's fiscal agent in the manner directed by
				the department in the invoice with a corresponding notification of remittance
				to vpa.fund@state.nm.us.
F. No
				later than September 1, 2015, and each quarter thereafter, the department shall
				invoice each health insurer and each group health plan for one-fourth of its
				proportionate share of the estimated amount and reserve calculated pursuant to
				Subsection E of 7.5.4.10 NMAC. The due dates are as follows:
Billing Cycle:
Department's Invoice Date:
Insurer's and Group Health Plan's Due
								Date:
July 1 to September 30
September 1
October 1
October 1 to December 31
December 1
January 1
January 1 to March 31
March 1
April 1
April 1 to June 30
June 1
July 1