National Health Care Reform - Library of Facts, Articles and Opportunities
Fact Sheets/Brochures
The recent passage of National Health Care Reform has created much conversation across the nation and New Mexico. It has also created many questions such as; who does it affect, what does it mean for me, when does it take effect, and how much will it cost? This Library of Facts, Articles and Opportunities is meant to be a resource of reading materials for the public to learn more about the Patient Protection and Affordable Health Care Act, PPACA (P.L. 111-148). The following resources are materials gathered from different sources, including government agencies, congressional delegations, and newspapers. We hope you find them helpful as we move forward on implementing Health Care Reform in New Mexico for New Mexicans.
- Blueprint Evidence Document – DRAFT
- Division of Insurance press release, 10.17.12, regarding Benchmark selection
- New Mexico Health care Reform Fiscal Model Report
- Users_Guide_for_New_Mexico_Health_Care_Reform_Fiscal_Model
- New Mexcio Health Care Reform Model--Synopsis
- New-Mexico-Basic-Health-Program-Model
- New-Mexico-Health-Care-Reform-Fiscal-Model
- 04.24.13 Letter from Gary Cohen of CCIIO to NM regarding timelines
Blueprint
- Attestation of Cabinet Secretary Squier
- Declaration Letter from Governor Martinez
- Section 1.0 - Notes
- 12.12.12 General Counsel Certification Letter
- 13.10.11 et seq. NMAC, Health Insurance Alliance Plan of Operation and Eligibility Criteria
- DOI Order to Amend HIA Plan of Operation and Eligibility Criteria, 01.13.12
- NMSA 1978, 59A-56-1 et seq. Health Insurance Alliance Act (HIAA)
- Section 2.0 - Notes
- ATF and work group calendar
- ATF and work group membership
- Example of press release announcing meeting
- Executive Order 2005-004
- HIX IT RFP 11.02.12
- HSD State-Tribal Consultation Policy
- In-depth Interviews with Stakeholders - Summaries
- Link to NMSA 1978, 59A-1 et seq
- Outreach Education Adoption Enrollment work group recommendations to ATF, 09.26.12
- SB 196
- Stakeholder Interview Highlights, 10.20.12
- Section 3.0 - Notes
- Section 4.0 - Notes
- ACA Brochure
- Carrier Appeal Process
- Evaluation of Solvency, Accreditation, Network Adequacy, and Rate Review
- Links - Division of Insurance
- New Mexico State Mandates for HMOs
- New Mexico State Mandates for PPOs
- Qualified Health Plan Certification Process
- Statutory Authority to Perform Certification of QHPs and Oversee Issuers
- Section 5.0 - Notes
- Section 6.0 - Notes
- HIX IT RFP 11.02.12
- Key SHOP Questions and Answers prepared for Planning Review
- Section 7.0 - Notes
- HIA Employee Handbook
- HIA Executive Director Job Description
- HIA Financial Operations Manager Job Description
- Proposed HIX Organizational Chart
- Section 8.0 - Notes
- HIA Business Assessment and Evaluation submitted to HHS CMS, 10.23.12
- HIA Finance Committee Board Report, 09.17.12
- HIA Marketing Committee Board Report, 09.21.12
- Section 9.0 - Notes
- DRAFT Contract Requirements for IV and V Services
- HIX IT RFP 11.02.12
- NMHIX Concept of Operations (CoNoPs) v. 1.1
- Section 10.0 - Notes
- HIX IT RFP 11.02.12
- Section 11.0 - Notes
- HIA Financial Statements Audit, 12.31.11 and 10
- HIX IT RFP 11.02.12
- Section 12.0 - Notes
Declaration Letter from Governor Martinez, Attestation of Secretary Squier
Section 1.0 - Legal Authority and Governance
Section 2.0 - Consumer and Stakeholder Engagement and Support
Section 3.0 - Eligibility and Enrollment
Section 4.0 - Plan Management
Section 5.0 - Risk Adjustment and Reinsurance
Section 6.0 - SHOP
Section 7.0 - Organization and Human Resources
Section 8.0 - Finance and Accounting
Section 9.0 - Technology
Section 10.0 - Privacy and Security
Section 11.0 - Oversight and Monitoring
Section 12.0 - Contracting, Outsourcing, and Agreements
Health Insurance Exchange Advisory Task Force
NMHIX RFP Procurement Library
Grants/Funding
- Additional Level 1 Grant Application
- 112911_Exchange_Award_Funding_By_State
- NM NOA
- NM Health Insurance Exchange Establishment Grant
- FY11 FY12 Cost Containment in Medicaid 011211
- Money Follows the Person Grant Application
- HCR Weekly Grant Tracking Spreadsheet 12-9-10
- HCR Weekly Grant Tracking Spreadsheet 10-29-10
- State Funding Opportunities 9-29-10
- 4-7-10 HCR implementation funding
- Status of Funding Opportunities in Health Care Reform Law
- Grant Tracking
OCIIO Quarterly Reports for Exchange Planning Grant
PRC/DOI Grants
Rate Review Grant
Planning Grant Contractors
Planning Grant Final Reports
- Spanish Speaking Final report July 2011
- Behavioral Health Final Report September 11, 2011
- Off Reservation Tribal Input Final Report September 2011
- On Reservation Tribal Input Final Report August 2011
- Providers Final Report June 2011
- Sex-Gender Final Report June 2011
- Young Adults and Marginally Employed Final Report June 2011
- General Consumer Final Report June 2011
- APPENDICES for Disability Final Report
- Disability Final Report June 2011
- LGBT Final Report June 2011
- NM Insurance Market Final Report June 2011
- Small Employer Final Report June 2011
- Uninsured Survey Final Report June 2011
Exchange Planning Grant - Request for Applications
- Tribal and Off - Reservation Questions to RFA
- RFA-Tribal Input and Analysis
- RFA-Off-Reservation Input and Analysis
- campaign contribution disclosure form
- AG Affidavit for Former state employee
- RFA Young adults and marginally employed 120810
- RFA Spanish-Only Speaking and Children of Non-Citizens 120810
- RFA Behavioral Health Population 111910
- RFA Disability Population 111910
- RFA General Consumers 111910
- RFA Health Care Providers 111910
- RFA Insurance Market Data 111910
- RFA Sex and Gender Implications 111910
- RFA Small Employers 111910
- RFA Spanish-Only Speaking and Children of Non-Citizens 111910
- RFA Young adults and marginally employed 111910
- Request for Application Template
NM HCR Leadership Team
- Consumer Stakeholder Group Minutes and attachments, January 11, 2012
- Consumer Stakeholder Group Minutes, November 29, 2011 meeting
- Consumer Stakeholder Group Minutes, November 1, 2011 Meeting
- Dr. Derksen presentation, 11.01.11 Consumer Stakeholder Group meeting
- NM OHCR 10.31.11 Comments on DHHS Proposed Rule on PPACA; Establishment of Exchanges and QHPs
- Dr. Derksen presentation, 10.05.11 Interim Health & Human Services Committee
- OHCR Transition Plan – December 2010
- OHCR Stakeholder Advisory Workgroups – 12-10-10
- Transition Plan Links for Appendices
- Native American Provision Matrix
- Agenda 12-15-10 NM Health Care Reform Leadership Team
- IAD Presentation for Tribal Consultation - Indian Provisions of PPACA 11-9-2010
- SJM1 Final Report
- Health Care Reform – Executive Leadership Team Presentation to LHHS
- Health Insurance Exchange Public Comments
- NMPED Application for Pregnancy Assistance Fund Grant
- NMPED Budget and Narrative for Pregnancy Assistance Fund Grant
- HANM Exchange Discussion Paper 9-2-10
- All-Payer Claims Databases - An Overview for Policymakers
- Planning Grant Application - Money Follows the Person Rebalancing Demonstration.
- Academy Health 8-31-10 Presentation to LHHS PPACA Opportunities FINAL
- FINAL Consumer Prot HCR Recom for SJM 1 Hrg 9-2-10
- SJM 1 Exchange Advisory Group Report 8_31_2010
- SJM1 Presentation NM App Exchange Planning Grant 9-2-10
- Grant Application - State Planning and Establishment Grants for the Affordable Care Act's Exchanges
- LFC Presentation on HCR Exchanges Final 7-22-10
- Governor’s Transmittal Letter for Federal Health Care Reform Strategic Plan
- NM Federal Health Care Reform Strategic Plan
- HCR Leadership Team Executive Order
- Temp. High Risk Pool - Letter of Intent
- Final Agenda - HCR Leadership Team 5-17-10
- May 20, 2010 Meeting Documents
- Draft Agenda 6-11-10 Meeting
- June 11, 2010 Meeting Documents
- Native American Issues
- HCR Weekly Alert
- June 24, 2010 Meeting Documents
- Premium Rate Grant HSD
- August 18, 2010 Meeting Documents
- September 15, 2010 Meeting Documents
- October 20, 2010 Meeting Documents
- November 17, 2010 Meetings
- December 15, 2010 Meeting Documents
- January 10 and 13 2011 meetings
- Native American Stakeholder meeting notes
- Native American June, 2011 Agenda
- Native American Stakeholder meeting notes, 10.03.11
- 10.03.11 DRAFT Native American Stakeholder Committee minutes
- 11.10.11 DRAFT Native American Stakeholder Committee meeting minutes