New Mexico Administrative Code › Title 7 - HEALTH › Chapter 29 - PRIMARY AND RURAL HEALTH CARE SERVICES › Part 3 - RURAL PRIMARY HEALTH CARE ACT › Section 7.29.3.7 - DEFINITIONS

Current through Register Vol. 35, No. 13, July 16, 2024
A.
"Act"
means the Rural Primary Health Care Act, Sections
				24-1A-1 to
				24-1A-4
				NMSA 1978.
B.
"Department"
means the department of health.
C.
"Eligible programs"
means
				nonprofit community based entities that provide or commit to provide primary
				health care services for residents of health care underserved areas and include
				rural health facilities and those serving primarily low income
				populations.
D.
"Health care
				personnel"
means health care professionals who contribute to ensuring
				adequate availability of primary health care services including but not limited
				to: licensed practical nurses, registered nurses, pharmacists, physician
				assistants, nurse practitioners, certified nurse midwives, primary care
				physicians (family practice, general practice, pediatrics, obstetrics and
				gynecology, and internal medicine), dentists and dental hygienists.
E.
"Health care underserved
				areas"
(HCUA) means geographic areas where it has been determined by the
				department of health, through the use of indices and other standards set by the
				department, that sufficient primary health care is not being provided to the
				citizens of that area. These designations may recognize need for either general
				or special health care services. HCUA designations may give consideration to
				federally designated health professional shortage areas (HPSA) and medically
				underserved areas (MUA).
F.
"Medically indigent"
means individuals who are unable to afford all
				medical care that they require. This includes both those individuals below the
				federal poverty level not covered by medicaid, medicare or other third party
				health care insurance and those individuals between 100 percent and 200 percent
				of federal poverty levels who are not covered by any third party health
				insurance. Medically indigent individuals are usually expected to pay for some
				portion of the cost of their health care based upon the level of their
				income.
G.
"Minimum level of
				primary health care services"
means basic primary health care services
				provided to the general population by health care personnel.
H.
"Nonprofit community based
				entities"
means nonprofit organizations with an internal revenue service
				501c(3) tax exempt status which have a governing board whose membership is
				broadly representative of the area served including consumer representatives.
				Nonprofit community based entities also include local governments and tribal
				governments. Nonprofit community based entities which are local governments,
				tribal governments and/or are multi-purpose or provide services in more than
				one HCUA, shall have local or regional primary health care advisory boards
				whose membership is generally representative of the area served.
I.
"Patient collections"
means
				receipts generated from patient encounters for primary health care services.
				Patient collections include revenues from medicaid, medicare, private
				insurance, Title XX, other third party sources or self pay.
J.
"Primary health care advisory
				board"
means a board, advisory to an organization's governing board,
				which has responsibility for consideration of and input into matters related to
				the provision of primary health care services in a local HCUA or regional
				combination of HCUA(s) being served. A majority of the advisory board shall be
				consumers of primary health care services.
K.
"Primary health care
				services"
are those provided at the first level of basic or general
				health care for an individual's health needs, including medical, dental and
				behavioral health diagnostic and treatment services and supportive services.
				Any dental or behavioral health services shall be provided in conjunction with
				primary medical services. Primary health care services are those provided as
				part of either general practice, family practice, obstetrics, gynecology,
				pediatrics or general internal medicine.
L.
"Total revenues"
means all
				receipts collected in support of primary health care services. Includes but not
				limited to: patient collections; Section 329, 330 and 340 Federal Funds, P.L.
				93-638 or IHS support; Title V, X and WIC programs; other federal grants; other
				state grants/contracts; and local income, including city, county or other unit
				of government, direct grant or value of donated property or facilities. In
				addition, other revenues including but not limited to: gifts, cash donations or
				grants from private foundations, church organizations, or other sources,
				general operating revenues from clinic services and interest, dividends, and
				other income derived from certificates of deposit, saving accounts and other
				investments.