New Mexico Administrative Code › Title 7 - HEALTH › Chapter 29 - PRIMARY AND RURAL HEALTH CARE SERVICES › Part 3 - RURAL PRIMARY HEALTH CARE ACT › Section 7.29.3.8 - FUND DISTRIBUTION

Current through Register Vol. 35, No. 13, July 16, 2024
A.
				Duty of the department: To the extent funds are made available for the purposes
				of the act Section
				24-1A-3.1D
				NMSA 1978, the department, in accordance with applicable procurement
				procedures, shall provide for the distribution of financial assistance to
				eligible programs which have applied for and demonstrated a need for assistance
				in order to sustain the delivery of a minimum level of primary health care
				services.
B. Eligibility: To
				receive financial assistance through Section
				24-1A-3.1D
				NMSA 1978, of the act, an eligible program shall:
(1) be a New Mexico nonprofit community based
				entity with federal internal revenue service 501c(3) tax exempt status, a local
				government or a tribal government which provide or commits to provide primary
				health care services to residents of an health care underserved area (HCUA)
				designated for primary health care needs;
(2) have a governing board whose membership
				is generally representative of the HCUA(s) it serves, including consumers of
				the primary health care services it provides; an eligible program which is a
				local government or tribal government and/or is multi-purpose or provides
				services in more than one HCUA shall have a local or regional primary health
				care advisory board whose membership is generally representative of the HCUA(s)
				being served; a majority of the advisory board shall be consumers of the
				primary health care services; the local or regional primary health care
				advisory board shall have opportunity for consideration of and input into the
				decisions regarding budgets, scope of services, payment policies and
				procedures, hours of operation and staffing; the eligible program shall be able
				to demonstrate the ability to meet the governing board and/or the advisory
				board requirements or have a practical plan for its establishment and
				implementation;
(3) have as its
				purpose to sustain or provide a minimum level of primary health care services
				as defined in Subsection D of 7.29.3.6 NMAC; services may additionally include
				medical support, diagnostic and treatment services, pharmacy, laboratory,
				radiology, preventive health services, behavioral health services, patient
				follow-up and/or dental and dental support services; any dental and/or
				behavioral health services shall be provided in conjunction with primary
				medical care services;
(4) have
				policies and procedures which assure that no person will be denied primary
				health care services they require because of inability to pay; these policies
				and procedures should address medically indigent persons below poverty not
				covered by third party payors and those between 100 percent and 200 percent of
				poverty without third party coverage; the eligible program should be able to
				demonstrate either the successful impact of these policies and procedures, or
				have a practical plan for their implementation;
(5) have billing policies and procedures
				which maximize patient collections, except where federal rules or contractual
				obligations prohibit the use of such measures; the program should be able to
				demonstrate either the successful impact of these policies and procedures, or
				have a practical plan for their implementation;
(6) have viable systems and infrastructure to
				deliver primary health care services including facility, staff and financial
				management systems;
(7) have
				comprehensive policies and procedures governing the primary health care
				operations which assure the delivery of effective, efficient and quality care;
				and
(8) meet other requirements as
				determined by the department.