N.M. Admin. Code § 8.349.2.16

Current through Register Vol. 35, No. 23, December 10, 2024
Section 8.349.2.16 - COORDINATED SERVICE CONTRACTOR (CSC) PROVIDER GRIEVANCE PROCESS

The CSC shall establish and maintain written policies and procedures for the filing of provider grievances. A provider shall have the right to file a grievance with the CSC regarding utilization management decisions or provider payment issues. Grievances shall be resolved within 30 calendar days. A provider may not file a grievance on behalf of a recipient without written designation by the recipient as the recipient's representative. See 8.349.2.14 NMAC for special rules for certain expedited service authorizations.

N.M. Admin. Code § 8.349.2.16

8.349.2.16 NMAC - N, 3-1-06, Adopted by New Mexico Register, Volume XXXV, Issue 12, June 25, 2024, eff. 7/1/2024