N.M. Admin. Code § 8.100.970.7 - DEFINITIONS
A.
Agency
review conference (ARC): means an optional conference offered by the
department to households adversely affected by a department action that is
normally held prior to a fair hearing. An ARC may be attended by all parties
responsible for and affected by the adverse action taken by the department,
including but not limited to, the ISD field office staff, the child support
enforcement division (CSED), a New Mexico works (NMW) representative and the
household or its authorized representative for the purpose of informally
resolving the dispute. The ARC is optional and shall in no way delay or replace
the fair hearing process. This subsection does not apply to appeals of adverse
actions by NMHIX.
B.
Authorized representative: means an individual designated by a
household to represent and act on its behalf during the fair hearing process.
The household must provide formal documentation authorizing the named
individual(s) to access the identified case information for a specified purpose
and time frame. An authorized representative may be an attorney representing a
person or household, a person acting under the authority of a valid power of
attorney, a guardian ad litem, or any other individual(s) designated by the
household.
C.
Claimant or
Appellant: means the household requesting a fair hearing that is
claiming to be adversely affected by an action(s) taken by the department or
NMHIX.
D.
Informal resolution
process: means an opportunity for informal resolution between NMHIX and
a household adversely affected by an NMHIX action in accordance with the
requirements of
45 CFR §
155.535(a). The informal
resolution process happens prior to a fair hearing. The appellant's right to a
hearing is preserved in any case in which the appellant remains dissatisfied
with the outcome of the informal resolution process. If the appeal does not
advance to a hearing, the informal resolution is final and binding.
Notes
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