New Mexico Statutes

N.M. Stat. § 27-14-3 (2026)

Definitions

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As used in the Medicaid False Claims Act:

A. "claim" means a written or electronically submitted request for payment of health care services pursuant to the medicaid program;

B. "department" or "authority" means the health care authority;

C. "medicaid" means the federal-state program administered by the health care authority pursuant to Title 19 or Title 21 of the federal Social Security Act;

D. "medicaid recipient" means a person on whose behalf a person claims or receives a payment from the medicaid program, regardless of whether the person was eligible for the medicaid program; and

E. "qui tam" means an action brought under a statute that allows a private person to sue for a recovery, part of which the state will receive.

History: Laws 2004, ch. 49, § 3; 2024, ch. 39, § 119.

ANNOTATIONS

The 2024 amendment, effective July 1, 2024, provided that references to "authority" or "department" as used in the Medicaid False Claims Act mean the health care authority, and made conforming amendments; and in Subsections B and C, deleted "human services department" and added "health care authority".

Notes of Decisions
Cited in 1 case, 2011–2011 · leading case: New York v. Amgen Inc., 652 F.3d 103 (1st Cir. 2011).
New York v. Amgen Inc., 652 F.3d 103 (1st Cir. 2011). “See N.M. Stat. Ann. § 27-14-3 . Westmoreland and the state intervenors assert that a claim is false or fraudulent under these statutes if it misrepresents compliance with a precondition of payment.”
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