New Mexico Administrative Code
Title 7 - HEALTH
Chapter 1 - HEALTH GENERAL PROVISIONS
Part 21 - DATA REPORTING REQUIREMENTS FOR HEALTH PLANS
Section 7.1.21.12 - PUBLIC RELEASE OF HEDIS DATA ELEMENTS

Universal Citation: 7 NM Admin Code 7.1.21.12
Current through Register Vol. 35, No. 18, September 24, 2024

A reporting health plan that objects on proprietary grounds to the potential release of its reported HEDIS data elements pursuant to 7 NMAC 1.20.10.2 [now Subsection B of 7.1.20.10 NMAC] shall submit to the director a written request for confidentiality. This request shall explicitly and specifically identify the HEDIS® data elements considered to be proprietary and provide a justification for this position. The director may consult with the HIS advisory committee in determining the merits of the request and shall provide a written decision to the reporting health plan. A reporting health plan may appeal the director's denial of the request to the commission. The commission shall make a final determination on the request. ®NCQA registered trademark.

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