New Mexico Administrative Code › Title 7 - HEALTH › Chapter 29 - PRIMARY AND RURAL HEALTH CARE SERVICES › Part 4 - PRIMARY CARE CAPITAL FUND PROGRAM › Section 7.29.4.9 - EVALUATION OF APPLICANT AND CAPITAL PROJECT

Current through Register Vol. 35, No. 13, July 16, 2024
The Department and Authority will complete an evaluation of
				  the Applicant and proposed Capital Project. Such evaluation will include, to
				  the extent applicable, an evaluation of Capital Project feasibility,
				  administrative capacity, and financial position.
A. An Eligible Entity:
(1) Must be a community-based nonprofit
				Primary Care clinic or Hospice that operates in a rural or other Health Care
				Underserved Area of the State and that has assets totaling less than ten
				million dollars ($10,000,000.00) and is a 501 (c)(3) nonprofit corporation for
				federal income tax purposes.
(2)
				Have a governing board whose membership is generally representative of the
				health care underserved area served. An eligible organization which is
				multipurpose or provides services in more than one Health Care Underserved Area
				must have a local or regional Primary Care or Hospice advisory board whose
				membership is generally representative of the Health Care Underserved Area
				being served.
(3) If a Primary Care
				clinic, must sustain or provide a minimum level of primary health care services
				through the services of a physician or midlevel provider. Services may
				additionally include, but not be limited to, medical support, diagnostic and
				treatment services, pharmacy, laboratory, radiology, preventive health
				services, emergency medical services, mental health, patient follow-up, and/or
				dental and dental support services. Such services shall be provided in
				coordination with primary medical care services.
(4) If a Hospice, comply with all New Mexico
				Requirements for Inhome and Inpatient Hospice Care as specified in 7 NMAC 12.2
				or such other regulations as may be adopted by the Department.
(5) Have policies and procedures which assure
				that no person will be denied services because of inability to pay. These
				policies and procedures must address the medically indigent persons below
				poverty not covered by third party payors and those between 100% and 200% of
				poverty without third party coverage. The Eligible Entity must be able to
				demonstrate either the successful impact of these policies and procedures, or
				have a practical plan for their implementation.
(6) Have billing policies and procedures
				which maximize patient collections except where Federal regulations or
				contractual obligations prohibit the use of such measures. The Eligible Entity
				must be able to demonstrate either the successful impact of these policies and
				procedures, or have a practical plan for their implementation.
(7) Provide a written assurance, signed by an
				attorney, that it has proper title, easements, leases, and right of ways to the
				property upon which any facility proposed for funding is constructed or
				improved.
(8) Comply with all
				applicable federal, state, and local laws and regulations.
(9) Meet other requirements as determined by
				the Department.