The bill amends Section 27-2-12.6 of the New Mexico Statutes to enhance the Medicaid managed care system. It mandates that the managed care organizations contracted with the state must ensure a proportional distribution of Medicaid recipients among them. This aims to promote equity and balance in the allocation of Medicaid recipients across various managed care organizations, including those newly contracted.
Additionally, the bill emphasizes the importance of maintaining access to medically necessary services for Medicaid recipients, particularly those with chronic health issues, and supports the preservation of rural primary care infrastructure. It also includes a provision to minimize the identification of Medicaid-eligible individuals, except when necessary for billing purposes. Overall, the amendments seek to improve the efficiency and effectiveness of the Medicaid managed care system in New Mexico.
Statutes affected: introduced version: 27-2-12.6