N.M. Admin. Code § 13.10.7.17 - POLICY-MAKING BODIES OF HMOS
No later than one year after becoming operational as a certified HMO, an HMO shall either:
A.
assure that at least one-third of the membership of the HMO's policy-making
body are enrollees of the HMO and that they reside in, or in proximity to, the
service area of the HMO. No enrollee who is a party-in-interest shall be
included in the minimum one-third member representation on the policy-making
body. Persons serving on the policy-making body are not prohibited from
receiving payments of directors' fees or other similar fees, or interest and
dividends derived from enrollment in an HMO cooperative.
B. create an advisory board to the
policy-making body. At least one-third of the members of the advisory board
must be enrollees of the HMO who meet the criteria of 13 NMAC 10.7.17.1 [now
Subsection A of
13.10.7.17 NMAC]. The advisory
board shall meet at least annually and at least annually shall file a report of
its recommendations with the policy-making body of the HMO. The report and any
minority reports shall be forwarded to the superintendent annually.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.