Relevant Contact Points in New Mexico

Licenses and surveys nursing homes, assisted living facilities, adult day care, home health and hospice providers in New Mexico. This function transferred from the Department of Health effective 7/1/2024, under Laws 2024, ch. 39, Section 131.

Conducts long-term care nursing home facility surveys through four regional district offices across New Mexico.

Advocates visit assisted living facilities and nursing homes to advocate for resident rights, investigate complaints, and ensure quality of care.

Investigates and prosecutes fraud committed by Medicaid providers, including hospitals, nursing homes, care facilities, laboratories, doctors, dentists, nurses, personal care providers, and therapists, and also investigates and prosecutes abuse, neglect, and financial exploitation against residents in facilities, including assisted living facilities and nursing homes.

The lead enforcer of the Unfair Practices Act and the Patients' Debt Collection Protection Act.

The route a consumer uses to file a Consumer Protection Bureau complaint, including a Patients' Debt Collection Protection Act or Unfair Practices Act medical-billing complaint, through a guided-help tool and a direct electronic complaint or tip form.

The route for filing a surprise or balance-billing complaint under the Surprise Billing Protection Act.

The licensing regulator for collection agencies, including third-party medical-debt collectors, under the Collection Agency Regulatory Act; it provides an online license-verification tool and complaint route.

Accepts complaints from consumers who are having difficulty dealing with insurance companies regarding policy applications, binding of policies, claim handling and other matters involving insurance, and links to the Managed Healthcare Complaint Form and the Pharmacy Benefits Manager Complaint form.

The pharmacy-facing intake channel, for use only by pharmacies submitting a complaint against a Pharmacy Benefits Manager; it also routes individual health-plan enrollees to the Managed Health Bureau complaint form.

The BeWell team answers questions, helps consumers find a plan, and enrolls them in health insurance through New Mexico's health insurance exchange. Also offers chat, text and an Albuquerque walk-in office.

Operated by the Aging and Long-Term Services Department; a toll-free counseling line for Medicare and Medigap questions, offering to speak with a SHIP Counselor.

The state medical board that licenses and disciplines physicians and physician assistants under the Medical Practice Act.

Administers the Medical Malpractice Act's Patient's Compensation Fund and regulates medical-malpractice insurance through its Property and Casualty Bureau. Also has an Albuquerque office.