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Care Coordination/Care Management in New Mexico

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        New Mexico has instituted a number of laws in order to allow patients to make decisions about their healthcare.  Informed consent is required in order to perform an HIV test on any individual except in limited circumstances.1  Consent can also be obtained from a legal guardian or authorized representative if the individual is unable to consent.2

        The Health Policy Commission is required to issue consumer health information reports so that individuals can evaluate the quality of care of state healthcare providers and facilities.3  Patients have the right to choose their own hospital or practitioner within the coverage of their insurance policy.4 New Mexico has also established a health information technology system which provides for the transfer of medical data between providers and patient.5

 

Footnotes

  • 1. N.M.S.A. §24-2B-2
  • 2. N.M.S.A. §24-2B-3; N.M.S.A. §24-7A-8
  • 3. N.M. Admin. Code 7.1.22
  • 4. N.M.S.A. §59A-22-32
  • 5. N.M.S.A. §24-1G-2

 

Care Coordination/Care Management in New Mexico

Subtopic Statute/Regulation Description
Informed consent requirements (If the information is going beyond the patient and provider Health-care information – N.M. Stat. Ann. §24-7A-8 A person authorized to make health care decisions on behalf of another individual must have the same rights as the patient to request, receive,...
Substituted Consent – N.M. Stat. Ann. §24-2B-3 Informed consent for HIV testing can be obtained from a legal guardian or authorized representative if the patient is not competent.  However, a...
Care Coordination/Care Management Freedom of Choice of Hospital and Practitioner-N.M. Stat. Ann. §59A-22-32 An insurance company may not restrict the right of a patient to choose his or her choice of hospital or practitioner within the limits of area and...
New coordinated systems of care (ACOs, Patient Centered Medical Homes/Health homes) (Cross reference with Quality Measurement) HMO Quality Assurance – N.M. Stat. Ann. §59A-46-7 A health maintenance organization (HMO) must have procedures in place the ensure that enrollees receive quality care, including availability,...
Information sharing across providers (including communication with other providers, across state lines, patient transfer) Hospital Facilities Policies – N.M. Code R. § 7.7.2.19 Policies   These requirements apply to all licensed public and private hospital facilities in New Mexico. Each hospital must have written...
Purpose of Creating a Telehealth Commission – N.M. Stat. Ann. §24-1G-2 The purpose laid out in the statute for creating a telehealth commission is to encourage the adoption and development of a statewide health...
Disease management In Home and Coordinated Community Care Services Program; demonstrations – N.M. Stat. Ann. §27-9-1 New Mexico law gives the Department of Human Services and Department of Health authority to implement a program giving in home and coordinated...
Click on the individual state law in the table above to see our summary of the individual law.


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