Section 27-11-2 - Definitions.

27-11-2. Definitions.

As used in the Medicaid Provider Act [27-11-1 NMSA 1978]:   

A.     "department" means the human services department;   

B.     "managed care organization" means a person eligible to enter into risk-based prepaid capitation agreements with the department to provide health care and related services;   

C.     "medicaid" means the medical assistance program established pursuant to Title 19 of the federal Social Security Act and regulations issued pursuant to that act;   

D.     "medicaid provider" means a person, including a managed care organization, operating under contract with the department to provide medicaid-related services to recipients;   

E.     "person" means an individual or other legal entity;   

F.     "recipient" means a person whom the department has determined to be eligible to receive medicaid-related services;   

G.     "secretary" means the secretary of human services; and   

H.     "subcontractor" means a person who contracts with a medicaid provider to provide medicaid-related services to recipients.