Section 27-5-12.2 - Duties of the county; sole community provider hospital payments. - New Mexico Statutes

27-5-12.2. Duties of the county; sole community provider hospital payments.

A county that authorizes payment for services to a sole community provider hospital shall:   

A.     determine eligibility for benefits and determine an amount payable on each claim for services to indigent patients from sole community provider hospitals;   

B.     notify the sole community provider hospital of its decision on each request for payment while not actually reimbursing the hospital for the services that are reimbursed with federal funds under the state medicaid program;   

C.     confirm the amount of the sole community provider hospital payments authorized for each hospital for the past fiscal year by September 30 of the current fiscal year based on a report prepared by the hospital using a format jointly prescribed by the counties and hospitals that provides aggregate data, including the number of indigent patients served and the total cost of uncompensated care provided by the hospital;   

D.     negotiate agreements with each sole community provider hospital providing services for county residents on the anticipated amount of the payments for the following fiscal year; provided that the agreements shall be in compliance with federal regulations regarding intergovernmental transfers and provider contributions and shall not include provisions for reimbursements to counties of matching and sole community provider fund allocations; and   

E.     provide the department by January 15 of each year with the budgeted amount of sole community provider hospital payments, by hospital, for the following fiscal year.