The bill amends Section 27-2-12.6 of the New Mexico Statutes to enhance the Medicaid managed care system by introducing a requirement for a proportional distribution of Medicaid recipients among the managed care organizations contracted with the state. This change aims to ensure that the allocation of Medicaid recipients is balanced, including for newly contracted organizations. The bill also emphasizes the importance of maintaining access to necessary medical services, particularly for those with chronic health issues, and supports the preservation of rural primary care infrastructure.

Additionally, the bill modifies existing language to clarify that Medicaid-eligible individuals should not be identified as such except for billing purposes. The overall goal of these amendments is to improve the efficiency and effectiveness of the Medicaid managed care system while adhering to national and state health care reform principles. The department retains the authority to exclude certain facilities and services from these provisions, ensuring flexibility in the management of Medicaid services.

Statutes affected:
introduced version: 27-2-12.6