Current through Register Vol. 35, No. 18, September 24, 2024
The Department and Authority will complete an evaluation of
the Applicant and proposed Capital Project. Such evaluation will include, to
the extent applicable, an evaluation of Capital Project feasibility,
administrative capacity, and financial position.
A. An Eligible Entity:
(1) Must be a community-based nonprofit
Primary Care clinic or Hospice that operates in a rural or other Health Care
Underserved Area of the State and that has assets totaling less than ten
million dollars ($10,000,000.00) and is a 501 (c)(3) nonprofit corporation for
federal income tax purposes.
(2)
Have a governing board whose membership is generally representative of the
health care underserved area served. An eligible organization which is
multipurpose or provides services in more than one Health Care Underserved Area
must have a local or regional Primary Care or Hospice advisory board whose
membership is generally representative of the Health Care Underserved Area
being served.
(3) If a Primary Care
clinic, must sustain or provide a minimum level of primary health care services
through the services of a physician or midlevel provider. Services may
additionally include, but not be limited to, medical support, diagnostic and
treatment services, pharmacy, laboratory, radiology, preventive health
services, emergency medical services, mental health, patient follow-up, and/or
dental and dental support services. Such services shall be provided in
coordination with primary medical care services.
(4) If a Hospice, comply with all New Mexico
Requirements for Inhome and Inpatient Hospice Care as specified in 7 NMAC 12.2
or such other regulations as may be adopted by the Department.
(5) Have policies and procedures which assure
that no person will be denied services because of inability to pay. These
policies and procedures must address the medically indigent persons below
poverty not covered by third party payors and those between 100% and 200% of
poverty without third party coverage. The Eligible Entity must be able to
demonstrate either the successful impact of these policies and procedures, or
have a practical plan for their implementation.
(6) Have billing policies and procedures
which maximize patient collections except where Federal regulations or
contractual obligations prohibit the use of such measures. The Eligible Entity
must be able to demonstrate either the successful impact of these policies and
procedures, or have a practical plan for their implementation.
(7) Provide a written assurance, signed by an
attorney, that it has proper title, easements, leases, and right of ways to the
property upon which any facility proposed for funding is constructed or
improved.
(8) Comply with all
applicable federal, state, and local laws and regulations.
(9) Meet other requirements as determined by
the Department.
B. Need.
The Department will determine priorities for community need and
facility/equipment need.
C. Capital
Project Feasibility. The Finance Committee will analyze each Capital Project to
determine whether the Capital Project is feasible. Extension of Financial
Assistance by the Authority does not constitute a warranty or other guarantee
as to the feasibility of the Capital Project.
D. Administrative Capacity. The Finance
Committee will evaluate the extent to which the Applicant has sufficient
administrative capacity.
E.
Financial Position. Financial performance is a key factor in the evaluation of
an Applicant. The Applicant must demonstrate that the excess of public support
and revenues over expenses for the most recent fiscal year or the projected
amount for the fiscal year after the Capital Project's completion (after adding
back annual depreciation and interest) provides sufficient coverage of the
previous year's annual debt service and sufficient coverage of projected
maximum annual debt service after accounting for the Authority's
loan.
F. Service Capacity. The
Department will establish priorities for Financial Assistance, determine the
appropriateness of the Capital Project, evaluate the capability of an Applicant
to maintain Primary Care or Hospice services, and determine that Capital
Projects comply with all state and federal licensing requirements. The
Department will determine, for applications for contracts for service, the
adequacy of proposed plans to provide Primary Care services in lieu of loan
repayment.
G. Geographic Location.
The Department will determine whether there is fair geographic distribution of
Financial Assistance.
