New Mexico § 27-11-12 Rights of medicaid provider or subcontractor; preliminary

New Mexico Statutes

§ 27-11-12 — Rights of medicaid provider or subcontractor; preliminary

New Mexico § 27-11-12

Ch. 27Public Assistance

Art. 11Medicaid Providers

This text of New Mexico § 27-11-12 (Rights of medicaid provider or subcontractor; preliminary) is published on Counsel Stack Legal Research, covering New Mexico primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

N.M. Stat. Ann. § 27-11-12 (2026).

Text

or final determination of overpayment. A. A medicaid provider or subcontractor may challenge:

(1)the department's preliminary or final determination of overpayment as:

(a)exceeding statutory authority;

(b)arbitrary or capricious;

(c)a failure to follow department procedure; or (d) not supported by substantial evidence;

(2)the credentials of persons who participated in the audit or claims review; or (3) the methodology or accuracy of the department's audit. B. A medicaid provider or subcontractor may, but shall not be required to, conduct its own audit or sampling to challenge a preliminary or final determination of overpayment.

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or final determination of overpayment. A. A medicaid provider or subcontractor may challenge: (1) the department's preliminary or final determination of overpayment as: (a) exceeding statutory authority; (b) arbitrary or capricious; (c) a failure to follow department procedure; or (d) not supported by substantial evidence; (2) the credentials of persons who participated in the audit or claims review; or (3) the methodology or accuracy of the department's audit. B. A medicaid provider or subcontractor may, but shall not be required to, conduct its own audit or sampling to challenge a preliminary or final determination of overpayment.