reglab/statecodes huggingface dataset:
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 22 - CONSUMER HEALTH INFORMATION REPORTS › Section 7.1.22.12 - VERIFICATION OF SUBMITTED DATA

Current through Register Vol. 35, No. 13, July 16, 2024
A.
				Audit requirement: In order to verify the validity, reliability and
				comparability of data submitted by a data provider, the commission may conduct
				or contract for an independent audit or approve a plan-contracted audit
				conducted by an independent organization certified by NCQA to perform
				HEDIS® audits. Data providers shall participate in the audit process upon
				request of the commission. ®NCQA registered trademark.
B. Audit process: The commission may design
				and conduct an audit process solely for the purpose of verifying submitted data
				that may include one or more of the following activities concerning a data
				provider:
(1) an audit of the data provider's
				data collection and reporting processes, including its administrative
				database;
(2) one or more site
				visits;
(3) review and verification
				of the data provider's specifications, source codes, and data elements for each
				reporting measure;
(4) review of
				patient confidential information, which shall be limited to cases selected for
				verification purposes; and
(5) any
				other reasonable activities necessary to satisfy the purposes of the audit
				requirement.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 23 - DATA REPORTING REQUIREMENTS FOR THE GEOGRAPHIC ACCESS DATA SYSTEM › Section 7.1.23.2 - SCOPE

Current through Register Vol. 35, No. 13, July 16, 2024
This rule applies to all non-federal licensed health care
				  facilities located in New Mexico and licensing agencies that have information
				  pertaining to the geographic supply and distribution of health professionals
				  and health services, including state entities licensing, certifying or
				  registering health professionals or health services, and state entities
				  administering programs to improve the distribution of health
				  professionals.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 23 - DATA REPORTING REQUIREMENTS FOR THE GEOGRAPHIC ACCESS DATA SYSTEM › Section 7.1.23.3 - STATUTORY AUTHORITY

Current through Register Vol. 35, No. 13, July 16, 2024
This rule is promulgated pursuant to Sections
				  24-14A-3
				  D(5) and (6);
				  24-14A-5;
				  24-14A-8
				  A and B and
				  24-14A-9
				  of the Health Information System Act, Section
				  24-14A-1,
				  NMSA 1978.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 23 - DATA REPORTING REQUIREMENTS FOR THE GEOGRAPHIC ACCESS DATA SYSTEM › Section 7.1.23.5 - EFFECTIVE DATE

Current through Register Vol. 35, No. 13, July 16, 2024
January 1, 1999, unless a later date is cited at the end of a
				  section or paragraph.
Compiler's note: The words or paragraph, above, are no
					 longer applicable. Later dates are now cited only at the end of sections, in
					 the history notes appearing in
					 brackets.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 23 - DATA REPORTING REQUIREMENTS FOR THE GEOGRAPHIC ACCESS DATA SYSTEM › Section 7.1.23.6 - OBJECTIVE

Current through Register Vol. 35, No. 13, July 16, 2024
The purpose of this rule is to collect data for the
				  geographic access data system by specifying the data reporting requirements for
				  state health professional and facility licensing authorities, non-federal
				  licensed health care facilities located in New Mexico and state entities
				  administering publicly funded programs in order to improve the distribution of
				  health professionals in rural and under-served, [sic] pursuant to the Health
				  Information System Act, Section
				  24-14A-1
				  et seq. NMSA 1978.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 23 - DATA REPORTING REQUIREMENTS FOR THE GEOGRAPHIC ACCESS DATA SYSTEM › Section 7.1.23.8 - DATA REPORTING SCHEDULE FOR GEOGRAPHIC ACCESS DATA SYSTEM DATA SOURCES

Current through Register Vol. 35, No. 13, July 16, 2024
A.
Data reporting by state health professional and facility licensing agencies or
				boards.
(1) All state health
				professional and facility licensing agencies and boards shall submit quarterly
				the specified data elements in a record layout agreed upon with the commission,
				according to the following schedule:
Reporting Period
Report
				  Due to Commission
January 1 - March 31 April 30
April 1 - June 30 July 31
July 1 - Sept. 30 October 31
October 1 - Dec. 31 January 31 of the following year
(2) Data from state health
				professional and facility licensing agencies and boards shall be collected in
				phases consisting of specified health professions and types of health
				facilities.
(3) The first phase of
				data collection shall be carried out as follows:
(a) The first phase of data collection from
				state health professional licensing boards and agencies shall consist of
				entities responsible for the licensing or certification of allopathic
				physicians, allopathic physician assistants, dentists, dental hygienists and
				all levels of nursing.
(b) The
				first phase of data collection from state health facility licensing agencies
				shall consist of general and special hospitals.
(c) Data from the groups designated for the
				first phase shall be due beginning April 30, 1999.
(4) In subsequent phases of data collection,
				the commission may require state health professional and facility licensing
				agencies to begin submitting, in accordance with section 8.1.1 [now Paragraph
				(4) of Subsection A of 7.1.23.8 NMAC] of this rule data pertaining to other
				health professions and types of health facilities. The commission shall provide
				90 days notice prior to the due date for data submission for data collected
				during the ordinary course of business and 180 days notice for all other
				required data.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 23 - DATA REPORTING REQUIREMENTS FOR THE GEOGRAPHIC ACCESS DATA SYSTEM › Section 7.1.23.9 - DATA REPORTING BY STATE HEALTH PROFESSIONAL LICENSING AGENCIES AND BOARDS

Current through Register Vol. 35, No. 13, July 16, 2024
A. All state
				health professional licensing agencies or boards, as required by the commission
				pursuant to 7 NMAC 1.23.8.1 [now Subsection A of 7.1.23.8 NMAC] and established
				pursuant to Chapter 61 NMSA 1978, excluding
				61-13-1 to
				61-13-17
				(nursing home administrators) and
				61-14-1
				to
				61-14-20
				(veterinary medicine) shall submit the following data elements in a record
				layout agreed upon with the commission for each of the designated health care
				professionals licensed by the agency or board:
(1) name of health care
				professional;
(2) license
				number;
(3) date of
				birth;
(4) gender;
(5) professional educational
				institution;
(6) date of
				graduation;
(7) professional
				degree(s);
(8)
				specialties;
(9) date first
				licensed in New Mexico;
(10)
				license employment classification;
(11) license status;
(12) practice business address(es);
(13) any additional data, consistent with the
				purpose of this rule, that is customarily collected by the agency or board in
				its ordinary course of operation, and as specified by the commission with at
				least 90 days notice prior to submission date.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 23 - DATA REPORTING REQUIREMENTS FOR THE GEOGRAPHIC ACCESS DATA SYSTEM › Section 7.1.23.10 - DATA REPORTING BY THE STATE HEALTH FACILITY LICENSING AUTHORITY FOR ALL LICENSED HEALTH CARE FACILITIES IN NEW MEXICO

Current through Register Vol. 35, No. 13, July 16, 2024
The state health facility licensing authority shall submit to
				  the commission the following data elements, in a record layout agreed upon with
				  the commission, for each of the designated health facilities licensed by the
				  authority.
A. facility ID;
B. current license number;
C. medicare provider certification
				number;
D. medicaid Title 19
				number;
E. name of
				administrator;
F. name of
				facility;
G. telephone number of
				facility;
H. business address of
				facility;
I. mailing
				address;
J. facility
				type;
K. owner(s) of
				facility;
L. current license
				issuance date;
M. current license
				expiration date;
N. nursing
				facility capacity;
O. skilled
				nursing capacity;
P. dually
				certified beds;
Q. behavioral
				health or psychiatric beds;
R.
				swing bed capacity;
S. total
				licensed bed capacity; [and]
T. any
				additional data, consistent with the purpose of this rule, that is customarily
				collected by the authority in its ordinary course of operation, as specified by
				the commission with at least 90 days notice prior to the submission
				date.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 23 - DATA REPORTING REQUIREMENTS FOR THE GEOGRAPHIC ACCESS DATA SYSTEM › Section 7.1.23.11 - DATA REPORTING BY EACH FACILITY LICENSED BY THE STATE HEALTH FACILITY LICENSING AUTHORITY AS A "DIAGNOSTIC TREATMENT CENTER," "LIMITED DIAGNOSTIC AND TREATMENT CENTER," OR "RURAL HEALTH CLINIC"

Current through Register Vol. 35, No. 13, July 16, 2024
Each facility licensed by the state facility licensing
				  authority as a 1) "diagnostic treatment center," 2) "limited diagnostic and
				  treatment center" and receiving funds under the Rural Primary Health Care Act
				  or classified as a federally qualified health center or equivalent or 3) "rural
				  health clinic" shall submit the following data elements in a record layout
				  agreed upon with the commission.
A.
				facility ID;
B. current license
				number;
C. name of
				administrator;
D. name of
				facility;
E. telephone number of
				facility;
F. business address of
				facility;
G. mailing
				address;
H. facility
				type;
I. owner(s) of
				facility;
J. types of services
				available:
(1) primary care
				services;
(2) laboratory diagnostic
				services;
(3) x-ray diagnostic
				services;
(4) emergency
				care;
(5) urgent care;
(6) 24-hour coverage
(7) family planning services;
(8) gynecological service;
(9) obstetrical care;
(10) prenatal care;
(11) dental care;
(12) mental health services;
(13) substance abuse services;
(14) pharmaceutical services.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 23 - DATA REPORTING REQUIREMENTS FOR THE GEOGRAPHIC ACCESS DATA SYSTEM › Section 7.1.23.12 - DATA REPORTING BY STATE ENTITIES ADMINISTERING PROGRAMS TO IMPROVE DISTRIBUTION OF HEALTH PROFESSIONALS

Current through Register Vol. 35, No. 13, July 16, 2024
All state entities administering health professional
				  recruitment and retention programs specifically intended to improve the
				  distribution of health professionals in the state shall submit the following
				  data in a record layout agreed upon with the commission, except as expressly
				  prohibited by federal law:
A.
Data requirements for individual financial incentive programs:
All state
				entities administering programs providing financial payments in exchange for
				service in a designated area shall report the following:
(1) name of administering entity;
(2) name of program;
(3) total program funding;
(4) state general fund funding;
(5) name of recipient;
(6) date of birth of recipient;
(7) health profession of recipient;
(8) license number;
(9) amount of payment of award;
(10) physical location of
				recipient;
(11) status of
				recipient;
(12) total number of
				individuals by eligible health professional discipline;
(13) total expenditures by eligible health
				professional discipline;
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 23 - DATA REPORTING REQUIREMENTS FOR THE GEOGRAPHIC ACCESS DATA SYSTEM › Section 7.1.23.13 - HEALTH CARE SURVEYS

Current through Register Vol. 35, No. 13, July 16, 2024
The commission may utilize surveys of licensed health care
				  professionals and/or the administrators of licensed health care facilities to
				  gather data, consistent with the purpose of this rule. GADS data sources shall
				  participate in the survey process upon request of the commission. The surveys
				  shall be undertaken in consideration of the following factors:
A.
Coordination among state
				agencies:
If feasible, the commission shall coordinate its survey
				efforts with other state agencies that have regulatory authority over health
				professionals and facilities to avoid redundant reporting
				requirements.
B.
Burden on
				survey populations:
Where feasible, the commission shall limit redundant
				requests of the survey target populations by coordinating survey efforts with
				other public and private entities, to ease any burden imposed by multiple
				survey efforts.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 23 - DATA REPORTING REQUIREMENTS FOR THE GEOGRAPHIC ACCESS DATA SYSTEM › Section 7.1.23.14 - STATUS OF DATA

Current through Register Vol. 35, No. 13, July 16, 2024
All data and health information collected pursuant to this
				  rule shall become the property of the commission upon
				  receipt.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 23 - DATA REPORTING REQUIREMENTS FOR THE GEOGRAPHIC ACCESS DATA SYSTEM › Section 7.1.23.15 - ACCESS TO GEOGRAPHIC ACCESS DATA SYSTEM DATA

Current through Register Vol. 35, No. 13, July 16, 2024
Access to GADS data shall be as follows:
A.
Access to public data:
(1)
Internet access:
All public
				data submitted to the commission pursuant to this rule may be made accessible,
				as determined to be appropriate by the commission, to any person through the
				health data system internet site.
(2)
Requests made directly to the
				commission:
Requests made directly to the commission for public data
				shall be subject to the provisions of 7 NMAC 1.20.14 [now 7.1.20.14 NMAC]. The
				commission may assess fees for preparing the requested data and reports, as
				specified in 7 NMAC 1.20.15 [now 7.1.20.15 NMAC].
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 23 - DATA REPORTING REQUIREMENTS FOR THE GEOGRAPHIC ACCESS DATA SYSTEM › Section 7.1.23.16 - ELECTRONIC REPORTING REQUIREMENTS

Current through Register Vol. 35, No. 13, July 16, 2024
As of January 1, 2000, all GADS data sources shall submit the
				  required quarterly or annual data by electronic media (such as computer tape,
				  cartridge or diskette) or by direct electronic transmission, per the record
				  layout and instruction provided by the commission.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 23 - DATA REPORTING REQUIREMENTS FOR THE GEOGRAPHIC ACCESS DATA SYSTEM › Section 7.1.23.17 - MODIFICATION OR EXEMPTION FROM REPORTING COMPLIANCE

Current through Register Vol. 35, No. 13, July 16, 2024
A. Upon written application to the director,
				the director may grant a GADS data source a 1) modification in reporting
				requirements or 2) temporary exemption, not to exceed two reporting quarters or
				one year, whichever is less, from the schedule required by 7 NMAC 1.23.8 [now
				7.1.23.8 NMAC]. Temporary exemption from reporting does not excuse the GADS
				data source from reporting the data from the exempted period. Upon resumption
				of the regular reporting schedule the GADS data source shall promptly report
				data for the exempted period. A modification or exemption shall be granted only
				when the data source makes reasonable showing that compliance would require
				unreasonable costs, would be unduly burdensome given the particular
				circumstances of the data source, or is not feasible due to no fault of the
				data source. In requesting a modification, the data source must also make a
				reasonable showing that it will effectuate the purposes of this rule through
				alternatives means. The GADS data source may appeal the director's decision to
				the commission, which shall make a final determination on the
				request.
B. Modifications to the
				specificity of any required data field may be directed by the health policy
				commission to accommodate updates in technology, public policy needs or as
				otherwise deemed necessary by the commission to fulfill the intent of this
				rule.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 23 - DATA REPORTING REQUIREMENTS FOR THE GEOGRAPHIC ACCESS DATA SYSTEM › Section 7.1.23.18 - PENALTIES FOR RULE VIOLATION

Current through Register Vol. 35, No. 13, July 16, 2024
Failure to comply with any of the reporting requirements in
				  this rule may result in injunctive relief and a civil penalty not to exceed
				  $1,000 per violation, as provided by the Health Information System Act, Section
				  24-14A-1
				  et seq. NMSA 1978.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 24 - CHARITY CARE DATA REPORTING REQUIREMENTS › Section 7.1.24.2 - SCOPE

Current through Register Vol. 35, No. 13, July 16, 2024
This rule applies to all non-federal health care facilities
				  licensed by the state health facility licensing authority and located in New
				  Mexico.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 24 - CHARITY CARE DATA REPORTING REQUIREMENTS › Section 7.1.24.3 - STATUTORY AUTHORITY

Current through Register Vol. 35, No. 13, July 16, 2024
This rule is promulgated pursuant to Sections 24-14A-3(D) and
				  24-14A-5
				  of the Health Information Systems Act, Section
				  24-14A-1
				  et seq. NMSA 1978.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 24 - CHARITY CARE DATA REPORTING REQUIREMENTS › Section 7.1.24.5 - EFFECTIVE DATE

Current through Register Vol. 35, No. 13, July 16, 2024
December 31, 2000, unless a later date is cited in the
				  history note at the end of a section.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 24 - CHARITY CARE DATA REPORTING REQUIREMENTS › Section 7.1.24.6 - OBJECTIVE

Current through Register Vol. 35, No. 13, July 16, 2024
The purpose of this rule is to specify the reporting
				  requirements related to charity care for non-federal, licensed health care
				  facilities located in New Mexico, pursuant to the Health Information Systems
				  Act, Section
				  24-14A-1
				  et seq. NMSA 1978.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 24 - CHARITY CARE DATA REPORTING REQUIREMENTS › Section 7.1.24.7 - DEFINITIONS

Current through Register Vol. 35, No. 13, July 16, 2024
In addition to the definitions in the Health Information
				  System Act, Section
				  24-14A-1
				  et seq. NMSA 1978, the following terms have the following meaning for the
				  purpose of this rule:
A.
Audited FQHC rate
means the 100% total allowable cost per service as
				determined by the FQHC cost report after audit and finalization by the New
				Mexico entity legally responsible for administering the Medicaid program (Title
				XIX of the federal Social Security Act), to be submitted if the facility is
				certified as a FQHC or FQHC equivalent or receives cost-based reimbursement
				pursuant to federal law.
B.
Bad debt
means an account receivable based on services furnished to a
				patient which is:
(1) regarded as
				uncollectible, following reasonable collection efforts, pursuant to the
				facility's credit and collection policies and procedures;
(2) charged as a credit loss pursuant to the
				facility's credit and collection policies and procedures; and
(3) not otherwise classified as charity
				care.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 24 - CHARITY CARE DATA REPORTING REQUIREMENTS › Section 7.1.24.8 - REQUIRED SUBMISSIONS

Current through Register Vol. 35, No. 13, July 16, 2024
A. All
				non-federal health care facilities shall submit the data required by 7.1.24.12
				NMAC or 7.1.24.13 NMAC, as applicable, to the commission in accordance with the
				schedule set forth in 7.1.24.11 NMAC.
B. All non-federal health care facilities
				shall submit their federal Health Care Financing Administration Medicare Cost
				Report for the same fiscal year as the data required by 7.1.24.12 NMAC or
				7.1.24.13 NMAC, as applicable, to the commission in accordance with the
				schedule set forth in 7.1.24.11 NMAC.
C. All non-federal health care facilities
				shall submit the facility's formal charity care policy or policies to the
				commission in accordance with the schedule set forth in 7.1.24.11 NMAC. The
				charity care policy or policies shall include as a criterion the level of
				qualifying income as a percentage of the applicable federal poverty
				level.
D. All non-federal health
				care facilities shall submit any Notice Program Reimbursement indicating
				adjustments that are five percent or greater than costs to the commission
				within 30 days of the facility's receipt of the Notice Program
				Reimbursement.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 24 - CHARITY CARE DATA REPORTING REQUIREMENTS › Section 7.1.24.9 - DATA SOURCE REQUIREMENTS

Current through Register Vol. 35, No. 13, July 16, 2024
A. All
				data required to be reported by this rule shall be obtained from the facility's
				most recently filed federal Health Care Financing Administration Medicare Cost
				Report, to the extent the data is available on that report. If the Medicare
				Cost Report is the source of the data, the definitions governing the Medicare
				Cost Report shall supersede any inconsistent definitions in this
				rule.
B. Data required to be
				reported by this rule that is not available from the facility's most recently
				filed federal Health Care Financing Administration Medicare Cost Report shall
				be obtained from the source specified on the reporting form provided by the
				commission. If the data is not obtained from the specified source, the facility
				shall report both the required data and its source.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 24 - CHARITY CARE DATA REPORTING REQUIREMENTS › Section 7.1.24.10 - REPORTING FORMAT

Current through Register Vol. 35, No. 13, July 16, 2024
A. Required
				data shall be submitted in accordance with the reporting form and instructions
				provided by the commission. The commission may require facilities to submit the
				data required to be reported by this rule and other commission rules on one
				reporting form.
B. The commission
				may specify software or other requirements to promote uniform reporting and
				efficient analysis. The commission may require that all data be submitted by
				electronic media (such as computer tape, cartridge or diskette) or by direct
				electronic transmission.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 24 - CHARITY CARE DATA REPORTING REQUIREMENTS › Section 7.1.24.11 - SCHEDULE FOR REPORTING

Current through Register Vol. 35, No. 13, July 16, 2024
A. For
				fiscal years ending prior to the effective date of this rule: All facilities
				shall submit the required data according to either the requirements of the
				initial rule 7 NMAC 1.24, "Charity Care Data Reporting Requirements", sections
				8 and 9, effective January 1, 1999 or the requirements of this replacement rule
				7.1.24 NMAC, "Charity Care Data Reporting Requirements", effective December 31,
				2000.
B. For fiscal years ending
				after the effective date of this rule: All facilities shall submit the required
				data per this replacement rule 7.1.24.NMAC, effective December 31, 2000, for
				the facility's prior fiscal year to the commission no later than six months
				after the end of the prior fiscal year.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 24 - CHARITY CARE DATA REPORTING REQUIREMENTS › Section 7.1.24.12 - DATA REPORTING BY LICENSED NONFEDERAL GENERAL AND SPECIALTY INPATIENT HEALTH CARE FACILITIES

Current through Register Vol. 35, No. 13, July 16, 2024
All licensed non-federal general and specialty inpatient
				  health care facilities in New Mexico shall report to the commission the
				  following data for their prior fiscal year:
A. Bad debt
B. Charity care charges
C. Cost to charge ratio (facilities with
				special circumstances, such as teaching and transplant costs and charges, shall
				provide a reconciliation of the cost to charge ratio with a modified ratio
				reflecting those circumstances)
D.
				County indigent fund revenue (facilities with significant pass-through funds to
				physicians and others shall report the net amount and provide a reconciliation
				of the gross and net amounts)
E.
				Emergency room charity care inpatient revenue (required for fiscal years ending
				on or after 10/31/2001)
F.
				Emergency room charity care outpatient revenue (required for fiscal years
				ending on or after 10/31/2001)
G.
				Emergency room encounters (required for fiscal years ending on or after
				(10/31/2001)
H. Emergency room
				inpatient revenue (required for fiscal years ending on or after
				10/31/2001)
I. Emergency room
				outpatient revenue (required for fiscal years ending on or after
				(10/31/2001)
J. Facility
				control
K. Facility ID
L. Facility license number
M. Fiscal year ending
N. Fund balance or equity
O. Governmental appropriations
P. Medicaid charges
Q. Medicaid discharges
R. Medicaid patient days
S. Medicare charges
T. Medicare discharges
U. Medicare patient days
V. Net Medicaid revenue
W. Net Medicare revenue
X. Net patient revenue
Y. Total contractual allowances
Z. Total discharges
AA. Total expenses
BB. Total other income
CC. Total patient costs
DD. Total patient revenue
EE. Total revenue
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 24 - CHARITY CARE DATA REPORTING REQUIREMENTS › Section 7.1.24.13 - DATA REPORTING BY EACH FACILITY LICENSED BY A STATE HEALTH FACILITY LICENSING AUTHORITY AS A "DIAGNOSTIC AND TREATMENT CENTER," "LIMITED DIAGNOSTIC AND TREATMENT CENTER," OR "RURAL HEALTH CLINIC"

Current through Register Vol. 35, No. 13, July 16, 2024
All licensed diagnostic and treatment centers, limited
				  diagnostic and treatment centers and rural health clinics or the equivalent
				  shall report to the commission the following data for their prior fiscal
				  year:
A. Audited FQHC
				rate(s)
B. Bad debt
C. Charity care charges
D. Charity care encounters
E. County indigent fund revenue (facilities
				with significant pass-through funds to physicians and others shall report the
				net amount and provide a reconciliation of the gross and net amounts)
F. Facility control
G. Facility ID
H. Facility license number
I. Federal funds
J. FQHC rate
K. Fund balance or equity
L. Governmental appropriations
M. Medicaid encounters
N. Medicare encounters
O. Net Medicaid revenue
P. Net Medicare revenue
Q. Net patient revenue
R. Rural Primary Health Care funds
S. Supplemental Medicaid revenue
T. Total contractual allowances
U. Total expenses
V. Total other income
W. Total patient costs
X. Total patient encounters
Y. Total patient revenue
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 24 - CHARITY CARE DATA REPORTING REQUIREMENTS › Section 7.1.24.14 - STATUS AND USE OF DATA

Current through Register Vol. 35, No. 13, July 16, 2024
A. All
				data and information reported under this rule shall become the property of the
				commission upon receipt.
B. The
				commission may use the data submitted according to this rule to assist it in
				carrying out the provisions of the Health Information Systems Act, Section
				24-14A-1
				et seq. NMSA 1978, which may include performing analysis and calculations to
				determine additional information.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 24 - CHARITY CARE DATA REPORTING REQUIREMENTS › Section 7.1.24.15 - MODIFICATION OR EXEMPTION FROM REPORTING COMPLIANCE

Current through Register Vol. 35, No. 13, July 16, 2024
A. Upon written application to the director,
				the director may grant a health care facility subject to this rule a temporary
				modification in reporting requirements or a temporary exemption for up to one
				year. A modification or exemption shall be granted only when the facility makes
				a reasonable showing that compliance would require unreasonable costs, would be
				unduly burdensome given the facility's particular circumstances, or is not
				feasible due to no fault of the facility. A facility requesting a modification
				must also make a reasonable showing that it will effectuate the purposes of
				this rule through alternative means.
B. A facility granted a temporary
				modification in reporting requirements shall report data according to the
				modification. Upon resumption of the regular reporting requirements the
				facility shall report data according to the requirements of this
				rule.
C. A facility granted a
				temporary exemption from reporting is not excused from reporting data for the
				exempted period. Upon resumption of the regular reporting schedule the facility
				shall promptly report data for the exempted period.
D. The facility may appeal the director's
				decision to the commission, which shall make a final determination on the
				application.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 24 - CHARITY CARE DATA REPORTING REQUIREMENTS › Section 7.1.24.16 - ACCESS TO DATA

Current through Register Vol. 35, No. 13, July 16, 2024
Data collected pursuant to this rule shall be considered an
				  analytical database in accordance with Access to Health Information System Data
				  and Reports, 7.1.20 NMAC (8/30/1997) and access to such data shall be subject
				  to the provisions of 7.1.20 NMAC or made available upon the expressed written
				  authority of the designated administrator of the facility that submitted the
				  data.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 24 - CHARITY CARE DATA REPORTING REQUIREMENTS › Section 7.1.24.17 - PENALTIES FOR RULE VIOLATION

Current through Register Vol. 35, No. 13, July 16, 2024
Failure to comply with any of the reporting requirements in
				  this rule may result in injunctive relief and a civil penalty not to exceed
				  $1,000 per violation, as provided by the Health Information System Act, Section
				  24-14A-1
				  et seq. NMSA 1978.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 25 - CAPITAL ASSETS DATA REPORTING REQUIREMENTS › Section 7.1.25.2 - SCOPE

Current through Register Vol. 35, No. 13, July 16, 2024
This rule applies to all non-federal health care facilities
				  licensed by a state health facility licensing authority and located in New
				  Mexico.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 25 - CAPITAL ASSETS DATA REPORTING REQUIREMENTS › Section 7.1.25.3 - STATUTORY AUTHORITY

Current through Register Vol. 35, No. 13, July 16, 2024
This rule is promulgated pursuant to Sections 24-14A-3(D) and
				  24-14A-5
				  of the Health information System Act, Section
				  24-14A-1
				  et seq. NMSA 1978.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 25 - CAPITAL ASSETS DATA REPORTING REQUIREMENTS › Section 7.1.25.5 - EFFECTIVE DATE

Current through Register Vol. 35, No. 13, July 16, 2024
December 31, 2000, unless a later date is cited in the
				  history note at the end of a section.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 25 - CAPITAL ASSETS DATA REPORTING REQUIREMENTS › Section 7.1.25.6 - OBJECTIVE

Current through Register Vol. 35, No. 13, July 16, 2024
The purpose of this rule is to specify the reporting
				  requirements related to capital assets for all nonfederal health care
				  facilities licensed by a state health facility licensing authority and located
				  in New Mexico, pursuant to the Health Information System Act, Section
				  24-14A-1
				  et seq. NMSA 1978.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 25 - CAPITAL ASSETS DATA REPORTING REQUIREMENTS › Section 7.1.25.7 - DEFINITIONS

Current through Register Vol. 35, No. 13, July 16, 2024
In addition to the definitions in the Health Information
				  System Act, Section
				  24-14A-1
				  et seq. NMSA 1978, the following terms have the following meaning for purposes
				  of this rule:
A.
Capital asset
				disposals and retirements
means the disposal or retirement of long-term
				assets which a facility used in its operation.
B.
Depreciation
means the
				systematic and rational allocation of the cost of a long-term asset over its
				estimated useful life.
C.
Director
means the director of the commission.
D.
Facility license number
means the unique number assigned and listed on the facility's license document
				issued by the state health facility licensing authority.
E.
Fiscal year ending
means the
				last day of the 12-month accounting cycle for which a facility plans the use of
				its funds.
F.
Long-term
				asset
means a fixed, tangible asset, such as land, land improvements,
				buildings and improvements, leasehold improvements, equipment (fixed and
				moveable), leased property and equipment, and construction in
				progress.
G.
Net income
				(loss)
means the difference between total revenue and total
				expenses.
H.
Owner(s) of
				facility
means the name of the owner(s) listed on the current license of
				a facility licensed by the state health facility licensing authority.
I.
Return on capital assets
means a facility's net income divided by average capital assets.
J.
Total capital asset ending
				balance
means the total amount of all long-term assets used in the
				facility's operations.
K.
Total new capital asset purchases
means the total amount of new
				long-term assets purchased for use in the facility's operations.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 25 - CAPITAL ASSETS DATA REPORTING REQUIREMENTS › Section 7.1.25.8 - REQUIRED SUBMISSIONS

Current through Register Vol. 35, No. 13, July 16, 2024
A. All
				non-federal health care facilities shall submit the data required by 7.1.25.12
				NMAC to the commission in accordance with the schedule set forth in 7.1.25.11
				NMAC.
B. The commission may require
				a facility to submit detailed lists of new capital asset purchases and capital
				asset disposals and retirements if the facility's average capital assets
				indicates a significant deviation from the facility's average capital assets in
				prior years, or if the facility's return on capital assets indicates a
				significant deviation from:
(1) the
				facility's return on capital assets in prior years;
(2) the average return on capital assets for
				licensed non-federal health care facilities in New Mexico; or
(3) the average return on capital assets for
				health care facilities based on national data.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 25 - CAPITAL ASSETS DATA REPORTING REQUIREMENTS › Section 7.1.25.9 - DATA SOURCE REQUIREMENTS

Current through Register Vol. 35, No. 13, July 16, 2024
A. All
				data required to be reported by this rule shall be obtained from the facility's
				most recently filed federal Health Care Financing Administration Medicare Cost
				Report, to the extent the data is available on that report. If the Medicare
				Cost Report is the source of the data, the definitions governing the Medicare
				Cost Report shall supercede any inconsistent definitions in this
				rule.
B. Data required to be
				reported by this rule that is not available from the facility's most recently
				filed federal Health Care Financing Administration Medicare Cost Report shall
				be obtained from the source specified on the reporting form provided by the
				commission. If the data is not obtained from the specified source, the facility
				shall report both the required data and its source.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 25 - CAPITAL ASSETS DATA REPORTING REQUIREMENTS › Section 7.1.25.10 - REPORTING FORMAT

Current through Register Vol. 35, No. 13, July 16, 2024
A. Required
				data shall be submitted in accordance with the reporting form and instructions
				provided by the commission. The commission may require facilities to submit the
				data required to be reported by this rule and other commission rules on one
				reporting form.
B. The commission
				may specify software or other requirements to promote uniform reporting and
				efficient analysis. The commission may require that all data be submitted by
				electronic media (such as computer tape, cartridge or diskette) or by direct
				electronic transmission.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 25 - CAPITAL ASSETS DATA REPORTING REQUIREMENTS › Section 7.1.25.11 - SCHEDULE FOR REPORTING

Current through Register Vol. 35, No. 13, July 16, 2024
A. For
				fiscal years ending prior to the effective date of this rule: All facilities
				shall submit the required data according to either the requirements of the
				initial rule 7 NMAC 1.25, "Capital Assests Data Reporting Requirements",
				section 8, effective December 31, 1998 or the requirements of this replacement
				rule, 7.1.25 NMAC, "Capital Assets Data Reporting Requirements", effective
				December 31, 2000.
B. For fiscal
				years ending after the effective date of this rule: All facilities shall submit
				the required data per this replacement rule 7.1.25 NMAC, effective December 31,
				2000, for the facility's prior fiscal year to the commission no later than six
				months after the end of the prior fiscal year.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 25 - CAPITAL ASSETS DATA REPORTING REQUIREMENTS › Section 7.1.25.12 - DATA REPORTING BY ALL NON-FEDERAL LICENSED HEALTH CARE FACILITIES LOCATED IN NEW MEXICO

Current through Register Vol. 35, No. 13, July 16, 2024
All non-federal licensed health care facilities in New Mexico
				  shall report to the commission the following data for their prior fiscal
				  year:
A. Capital asset disposals and
				retirements
B.
				Depreciation
C. Facility license
				number
D. Facility name
E. Fiscal year ending
F. Net income (loss)
G. Owner(s) of facility
H. Total capital asset ending
				balance
I. Total new capital asset
				purchases
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 25 - CAPITAL ASSETS DATA REPORTING REQUIREMENTS › Section 7.1.25.13 - STATUS AND USE OF DATA

Current through Register Vol. 35, No. 13, July 16, 2024
A. All
				data and information collected pursuant to this rule shall become the property
				of the commission upon receipt.
B.
				The commission may use the data submitted according to this rule to assist it
				in carrying out the provisions of the Health Information Systems Act, Section
				24-14A-1
				et seq. NMSA 1978, which may include performing analysis and calculations to
				determine additional information.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 25 - CAPITAL ASSETS DATA REPORTING REQUIREMENTS › Section 7.1.25.14 - MODIFICATION OR EXEMPTION FROM REPORTING REQUIREMENTS

Current through Register Vol. 35, No. 13, July 16, 2024
A. Upon written application to the director,
				the director may grant a health care facility subject to this rule a temporary
				modification in reporting requirements or a temporary exemption for up to one
				year. A modification or exemption shall be granted only when the facility makes
				a reasonable showing that compliance would require unreasonable costs, would be
				unduly burdensome given the facility's particular circumstances, or is not
				feasible due to no fault of the facility. A facility requesting a modification
				must also make a reasonable showing that it will effectuate the purposes of
				this rule through alternative means.
B. A facility granted a temporary
				modification in reporting requirements shall report data according to the
				modification. Upon resumption of the regular reporting requirements the
				facility shall report data according to the requirements of this
				rule.
C. A facility granted a
				temporary exemption from reporting is not excused from reporting data for the
				exempted period. Upon resumption of the regular reporting schedule the facility
				shall promptly report data for the exempted period.
D. The facility may appeal the director's
				decision to the commission, which shall make a final determination on the
				application.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 25 - CAPITAL ASSETS DATA REPORTING REQUIREMENTS › Section 7.1.25.15 - ACCESS TO DATA

Current through Register Vol. 35, No. 13, July 16, 2024
Data collected pursuant to this rule shall be considered an
				  analytical database in accordance with Access to Health Information System Data
				  and Reports, 7.1.20 NMAC (8/30/1997) and access to such data shall be subject
				  to the provisions of 7.1.20 NMAC or made available upon the expressed written
				  authority of the designated administrator of the facility that submitted the
				  data.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 25 - CAPITAL ASSETS DATA REPORTING REQUIREMENTS › Section 7.1.25.16 - PENALTIES FOR RULE VIOLATION

Current through Register Vol. 35, No. 13, July 16, 2024
Failure to comply with any of the reporting requirements in
				  this rule may result in injunctive relief and a civil penalty not to exceed
				  $1,000 per violation, as provided by the Health Information System Act, Section
				  24-14A-1
				  et seq. NMSA 1978.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 26 - VOLUNTEER HEALTH CARE PROVIDER TORT COVERAGE PROGRAM › Section 7.1.26.2 - SCOPE

Current through Register Vol. 35, No. 13, July 16, 2024
This rule applies to all health care providers with no
				  liability insurance licensed within New Mexico who render voluntary health care
				  services without compensation under the auspices of a registered health care
				  agency or organization.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 26 - VOLUNTEER HEALTH CARE PROVIDER TORT COVERAGE PROGRAM › Section 7.1.26.3 - STATUTORY AUTHORITY

Current through Register Vol. 35, No. 13, July 16, 2024
NMSA 1978 Section
				  41-4-3 F
				  (16).
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 26 - VOLUNTEER HEALTH CARE PROVIDER TORT COVERAGE PROGRAM › Section 7.1.26.5 - EFFECTIVE DATE

Current through Register Vol. 35, No. 13, July 16, 2024
02/15/2008, unless a later date is cited in the history note
				  at the end of a section.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 26 - VOLUNTEER HEALTH CARE PROVIDER TORT COVERAGE PROGRAM › Section 7.1.26.6 - OBJECTIVE

Current through Register Vol. 35, No. 13, July 16, 2024
The purpose of this rule is to provide guidance for the
				  registration and administration of eligible licensed New Mexico health care
				  providers with no liability insurance who will serve without compensation, and
				  the eligible agencies who seek their health care services.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 26 - VOLUNTEER HEALTH CARE PROVIDER TORT COVERAGE PROGRAM › Section 7.1.26.7 - DEFINITIONS

Current through Register Vol. 35, No. 13, July 16, 2024
A.
"Licensed
				health care provider"
defined as a health care provider licensed to
				practice in the state of New Mexico or a health care provider in federal
				service with a license issued in another state, including the following
				professional disciplines:
(1)
				optometrists;
(2) chiropractic
				physicians;
(3) dentists;
(4) physicians;
(5) podiatrists;
(6) osteopathic physicians;
(7) physician assistants;
(8) certified nurse practitioners;
(9) physical therapists;
(10) occupational therapists;
(11) speech-language pathologists;
(12) doctors of oriental medicine;
(13) nutritionists;
(14) psychologists;
(15) certified nurse-midwives;
(16) clinical nurse specialists;
(17) registered nurses;
(18) dental hygienists;
(19) pharmacists;
(20) athletic trainers;
(21) anesthesiologist assistants.
New Mexico Administrative Code › Title 7 - HEALTH › Chapter 1 - HEALTH GENERAL PROVISIONS › Part 26 - VOLUNTEER HEALTH CARE PROVIDER TORT COVERAGE PROGRAM › Section 7.1.26.8 - REGISTRATION OF ELIGIBLE HEALTH CARE AGENCIES AND ORGANIZATIONS

Current through Register Vol. 35, No. 13, July 16, 2024
A. Registration
				requirements - all health care agencies and organizations seeking to
				participate in the program must apply to the New Mexico department of health,
				epidemiology and response division and be approved and registered in the
				program.
B. Term of approval -
				successful applicants will be approved for participation in the program for a
				term to be established by the New Mexico department of health. Successful
				applicants will be notified of the approval of their participation in the
				program and be provided an indication of the term of that approval.
C. Termination of approval - the New Mexico
				department of health shall at its discretion terminate a registered agency or
				organization's participation in the program. The registered agency or
				organization will be notified of any termination decision.
D. Registered health care providers
				participating in the program may provide voluntary health care services at
				locations operated or sponsored by registered agencies and organizations
				including:
(1) public health offices operated
				by the New Mexico department of health;
(2) public health contractors of the New
				Mexico department of health including:
(a)
				family planning contractors;
(b)
				oral health service providers;
(c)
				human immunodeficiency virus (HIV) and acquired immune deficiency syndrome
				(AIDS) service providers;
(3) community-based primary care centers
				licensed by the New Mexico department of health;
(4) school-based health centers;
(5) emergency medical services licensed by
				the state of New Mexico;
(6) Indian
				health services and tribal health services;
(7) other health programs operated by the New
				Mexico department of health;
(8)
				other locations and volunteer opportunities as recognized by the New Mexico
				department of health;
(9) mobile
				and portable outreach and extension efforts sponsored by registered agency,
				organization, or program including:
(a)
				health fairs;
(b) head start -
				school outreach.