Section 28-16A-16 - Determination of rates for payment for support and services. - New Mexico Statutes

28-16A-16. Determination of rates for payment for support and services.

A.     The department shall develop, implement and maintain a provider reimbursement system based on the level of support and services required by a person with a developmental disability.   

B.     If the approved funding from the legislature does not permit the implementation of a reimbursement system using the considerations provided for in this section, the department shall develop and implement a service reduction plan.   

C.     The department shall report to the legislature and the governor the impact of any service reduction plans and the steps that will be taken to reinstate those services.   

D.     The department shall report annually to the legislature and the governor an estimate of the costs of maintaining support and services for persons with developmental disabilities being served, including the effects of changes in the costs of providing support and services, an estimate of the costs of providing support and services to persons that are eligible for service but not receiving services, and the request of the department for funding of services.   

E.     Contractors shall be required to submit records of support and services delivered as determined by the department, subject to monitoring by the department.   

F.     Contingent upon appropriations, the department shall conduct an independent biannual cost study for the purpose of establishing payment rates. The results of this study shall be submitted to the legislature.