Bill

Bill > HB269


NM HB269

Health Care Authority Visit Verification


summary

Introduced
02/04/2025
In Committee
03/16/2025
Crossed Over
03/10/2025
Passed
03/18/2025
Dead
Vetoed
03/18/2025

Introduced Session

2025 Regular Session

Bill Summary

AN ACT RELATING TO HEALTH CARE; REQUIRING THE HEALTH CARE AUTHORITY TO IMPLEMENT AN OPEN ELECTRONIC VISIT VERIFICATION SYSTEM THAT IS COMPLIANT WITH FEDERAL LAW.

AI Summary

This bill requires the New Mexico Health Care Authority to implement an open electronic visit verification (EVV) system that complies with the federal 21st Century Cures Act. The system will allow Medicaid home health and personal care service providers to choose their own EVV system, but all systems must connect to a centralized "aggregator system" that can collect and store specific data points about each service visit, including the type of service, recipient, date, location, service provider, and start and end times. The Health Care Authority must adopt rules for the aggregator system that ensure data privacy, establish monitoring and auditing procedures, and provide guidance to providers about acceptable EVV systems. The bill defines key terms like "provider" (a licensed home health or personal care service entity) and "Medicaid recipient" (a person eligible for Medicaid services). The new system must be fully implemented by January 1, 2026, and is designed to help the state meet federal reporting requirements while giving providers flexibility in choosing their specific visit verification technology.

Committee Categories

Budget and Finance, Health and Social Services

Sponsors (2)

Last Action

Vetoed by Governor (on 03/18/2025)

bill text


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