N.M. Admin. Code § 8.200.430.12

Current through Register Vol. 35, No. 23, December 10, 2024
Section 8.200.430.12 - [Effective 11/1/2024] RIGHT TO HEARING

An applicant or an eligible recipient is entitled to adequate notice of a HCA adverse action regarding their termination or re-categorization of their MAP category of eligibility. The applicant or re-determining eligible recipient has specific rights and responsibilities when requesting a HCA administrative hearing. A HCA administrative hearing affords the applicant or re-determining eligible recipient the opportunity to have an impartial review of these decisions. See 8.352.2, 8.100.180 and 8.100.970 NMAC for a detailed description of these rights, responsibilities and the HCA administrative hearing process. 8.352.2 NMAC further details the rights, responsibilities and the HCA administrative hearing process for other adverse actions MAD, its utilization review contractor or a HCA contracted managed care organization (MCO) may initiate (42 CFR Section 431.220(a)(1)(2)).

N.M. Admin. Code § 8.200.430.12

8.200.430.12 NMAC - Rp, 8.200.430.12 NMAC, 1-1-14, Amended by New Mexico Register, Volume XXV, Issue 19, October 15, 2014, eff. 10/15/2014, Amended by New Mexico Register, Volume XXXV, Issue 20, October 22, 2024, eff. 11/1/2024