N.M. Stat. § 27-2-45
Hospitals; claims for payment.
A. A hospital may submit eligible claims to the department on or before April 1 of
each year for payment from the fund by June 30 of each year in an amount determined
pursuant to this section.
B. A claim submitted by a hospital for payment from the fund shall be deemed an
eligible claim if it is for:
(1)
uncovered hospital charges of five thousand dollars ($5,000) or more for
an illness of a medically indigent patient;
(2)
hospital charges incurred within the twelve months immediately prior to
the applicable April 1 closing deadline; and
(3)
an amount determined by subtracting from the base claim the medically
indigent patient's deductible and then reducing the resulting balance, based on the
hospital's medicare cost-to-charge ratio, to an amount equal to medicare allowable
costs.
C. The department shall pay from the fund to each hospital the amount of each
eligible claim if there is sufficient money in the fund. If there is not sufficient money in
the fund to pay all eligible claims of hospitals for that year, the amount of each claim
that shall be paid shall be an amount derived from multiplying the full amount of the
eligible claim by the percentage derived from dividing the balance in the fund, after
administrative costs have been subtracted, by the sum of the eligible claims.