New Mexico Administrative Code

In addition to the definitions in the Health Information System Act, Section 24-14A-1 et seq. NMSA 1978, the following definitions apply for purposes of this rule. A. Access level means a set of information or data maintained as part of the health information system which may be …

A. Access requirements: Data and reports based on access levels in the HIS may be obtained only in accordance with the requirements of the Health Information System Act, Section 24-14A-1 et seq. NMSA 1978, and this rule. B. Evaluation of requests: In addition to other requirement…

Pursuant to the requirements of 7.1.20.8 NMAC, as determined by commission staff, any person may obtain access to aggregate analysis in the form of routine reports or non-routine reports pursuant to the procedures in 7.1.20.14 NMAC.

New Mexico Health Policy Commission.

All reporting health plans shall submit the health plan report by electronic media (includes computer tape, cartridge or diskette) or by direct electronic transmission, beginning no later than the health plan report submitted in 1999 for the 1998 health plan reporting period.

A reporting health plan may submit to the director a written request for modification or exemption from compliance with the reporting requirements of this rule. The director may grant the request if the reporting health plan makes a reasonable showing that compliance would requir…

A reporting health plan that objects on proprietary grounds to the potential release of its reported HEDIS data elements pursuant to 7 NMAC 1.20.10.2 [now Subsection B of 7.1.20.10 NMAC] shall submit to the director a written request for confidentiality. This request shall explic…

In addition to the penalties provided in the Health Information System Act, Section 24-14A-1 et seq. NMSA 1978, for violation of the data reporting requirements of the Act and its rules, the commission may impose any or all of the following sanctions for violation of this rule: A…

This rule applies to all reporting health plans in New Mexico.

This rule is promulgated pursuant to Sections 24-14A-3 D(5) and (6); 24-14A-5 A through C; 24-14A-8 A and B; and 24-14A-9 of the Health Information System Act, Section 24-14A-1 et seq. NMSA 1978.

Permanent.

August 30, 1997, unless a later date is cited at the end of a section or paragraph.

The purpose of this rule is to specify the data reporting requirements for health plans pursuant to the Health Information System Act, Section 24-14A-1 et seq. NMSA 1978.

In addition to the definitions in the health information system Act, Section 24-14A-1 et seq. NMSA 1978, the following definitions apply for purposes of this rule: A. Consumer health information report means a report that provides the public with information on which to base heal…

A. Components of report: The health plan report required by this rule shall consist of the following components:(1) the HEDIS reporting set; and (2) an additional core set of performance measures specific to the needs of New Mexico consumers, as required by the commission. B. Add…

A. Mandatory reporting: Reporting health plans shall submit to the commission a health plan report as follows: (1) For the 1996 health plan reporting period, the health plan report shall be submitted by October 1, 1997 and shall consist of the HEDIS reporting set only. (2) For al…

New Mexico Health Policy Commission.

Upon recommendation of the editorial board, the commission may contract for health care surveys to be conducted. Data providers shall participate in the survey process upon request of the commission. The surveys shall be undertaken based upon the criteria in 7 NMAC 1.22.9.2 [now …

A. Review by data providers: Data providers whose data is included in a consumer health information report and who submit the required data by the submission deadline shall be provided a draft of the report that contains the provisional statewide aggregate results for each includ…

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…

This rule applies to consumer health information reports issued by the commission.

This rule is promulgated pursuant to Section 24-14A-3 D(5) of the Health Information System Act, Section 24-14A-1 et seq. NMSA 1978.

Permanent.

August 30, 1997, unless a later date is cited at the end of a section or paragraph.

The purpose of this rule is to effectuate Sections 24-14A-3 D(11) and 24-14A-3.1D(2) of the Health Information System Act, Section 24-14A-1 et seq. NMSA 1978, by specifying the process for issuance of consumer health information reports.

In addition to the definitions in the Health Information System Act, Section 24-14A-1 et seq. NMSA 1978, the following definitions apply for purposes of this rule: A. "Administrative database" means any automated data supplied by the data provider, its contracted providers and ve…

A. Issuance of reports: The commission annually shall issue, pursuant to the requirements of this rule, one or more consumer health information reports designed to assist health care consumers in comparatively evaluating the quality of care and performance of health care provider…

A. The commission shall establish annually a five member editorial board selected from the HIS advisory committee, including representatives of data providers and consumers. A commission staff member shall be the nonvoting chair of the editorial board. The editorial board shall p…

New Mexico Health Policy Commission.

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. medi…

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…

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 p…

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…

All data and health information collected pursuant to this rule shall become the property of the commission upon receipt.

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 intern…

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.

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.…

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.

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…

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.

Permanent.

January 1, 1999, unless a later date is cited at the end of a section or paragraph.

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 a…

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. Amount of payment of award means the total dollar amount paid during the reporting period to or on…

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 …

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 t…

New Mexico Health Policy Commission.

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…

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 …

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…