NMSA 1978, § 7-41-3 — Definitions

As used in the Health Care Quality Surcharge Act:

# A.

"department" means the taxation and revenue department;

# B.

"health care facility" means a skilled nursing facility, intermediate care facility or
intermediate care facility for individuals with intellectual disabilities;

# C.

"intermediate care facility" means a facility with greater than sixty beds and is
licensed by the department of health to provide intermediate nursing care.
"Intermediate care facility" does not include an intermediate care facility for individuals
with intellectual disabilities;

# D.

"intermediate care facility for individuals with intellectual disabilities" means a
facility licensed by the department of health to provide food, shelter, health or
rehabilitative and active treatment for individuals with intellectual disabilities or persons
with related conditions;

# E.

"medicaid" means the medical assistance program established pursuant to Title
19 of the federal Social Security Act and regulations promulgated pursuant to that act;

# F.

"medicare" means coverage provided pursuant to part A or part B of Title 18 of
the federal Social Security Act, as amended;

# G.

"medicare advantage" means insurance that expands a medicare beneficiary's
options for participation in private sector health plans with networks of participating
providers;

# H.

"medicare part A" means insurance provided through medicare for inpatient
hospital, home health, skilled nursing facility and hospice care;

# I.

"net revenue" means gross inpatient revenue reported by a health care facility for
routine nursing and ancillary inpatient services provided to residents by the facility, less
applicable contractual allowances and bad debt;

# J.

"non-medicare bed day" means a day for which the primary payer is not
medicare part A, medicare advantage or a special needs plan. A non-medicare bed day
excludes any day on which a resident is not in the facility or the facility is paid to hold
the bed while the resident is on leave;

# K.

"resident day" means a calendar day of care provided to a resident in a health
care facility, including the day of admission and not including the day of discharge;
provided that admission and discharge occurring on the same day shall constitute one
resident day;

# L.

"skilled nursing facility" means a facility with greater than sixty beds and is
licensed by the department of health to provide skilled nursing services; and

# M.

"special needs plan" means a specific type of medicare advantage plan that
limits membership to individuals with specific diseases or characteristics.