N.M. Admin. Code § 13.10.7.13 - ADMINISTRATIVE AND MANAGERIAL ARRANGEMENTS
Each HMO shall have administrative and managerial arrangements satisfactory to the superintendent as demonstrated by at least the following:
A. a policy-making body
which exercises oversight and control over the HMO's policies and personnel to
assure that management actions are in the best interests of the HMO and its
enrollees; and
B. personnel and
systems sufficient for the HMO to organize, plan, control and evaluate the
financial, marketing, health services, quality assurance program,
administrative and management aspects of HMO. At a minimum, the HMO shall be
managed by an executive whose appointment and removal are under the control of
the HMO's policy-making body.
Notes
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