§ 27-11-1 Short title
§ 27-11-2 Definitions
§ 27-11-3 Review of medicaid provider or managed care organization; contract remedies; penalties
§ 27-11-3.1 Hospital payment rates; managed care organizations; negotiated rates. (Contingent effective date. See note below. Repealed effective July 1, 2030.)
§ 27-11-4 Retention and production of records
§ 27-11-5 Rules
§ 27-11-7 Determination of overpayments or credible allegation of fraud; audit findings; sampling; extrapolation limited; notice of right to informal conference and expedited adjudicatory proceeding
§ 27-11-8 Informal conference; corrective action; requirements
§ 27-11-9 Expedited adjudicatory proceedings; requirements
§ 27-11-10 Qualifications and selection of hearing officer for expedited adjudicatory proceedings
§ 27-11-11 Costs of expedited adjudicatory proceeding
§ 27-11-12 Rights of medicaid provider or subcontractor; preliminary or final determination of overpayment
§ 27-11-13 Release of suspended payment for services previously rendered; prepayment review; remedial training and education; temporary assistance
§ 27-11-14 Maintenance of services; payment for ongoing services
§ 27-11-15 Disposition of recovered medicaid funds
§ 27-11-16 Credible allegation of fraud; judicial review; substantial evidence required
§ 27-11-17 Award of costs, fees and interest
§ 27-11-18 Applicability of Administrative Procedures Act
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Terms Used In New Mexico Statutes > Chapter 27 > Article 11 - Medicaid Providers

  • Allegation: something that someone says happened.
  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Contract: A legal written agreement that becomes binding when signed.
  • Court reporter: A person who makes a word-for-word record of what is said in court and produces a transcript of the proceedings upon request.
  • Discovery: Lawyers' examination, before trial, of facts and documents in possession of the opponents to help the lawyers prepare for trial.
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Fraud: Intentional deception resulting in injury to another.
  • Litigation: A case, controversy, or lawsuit. Participants (plaintiffs and defendants) in lawsuits are called litigants.
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • Reporter: Makes a record of court proceedings and prepares a transcript, and also publishes the court's opinions or decisions (in the courts of appeals).
  • Service of process: The service of writs or summonses to the appropriate party.
  • Settlement: Parties to a lawsuit resolve their difference without having a trial. Settlements often involve the payment of compensation by one party in satisfaction of the other party's claims.
  • Testimony: Evidence presented orally by witnesses during trials or before grand juries.