Licensing & Certification Authority Bureau Program Monitor
- The Licensing and Certification Authority (LCA) Bureau monitors health, safety, supervision, and quality of care for specific certified services and licensed facilities throughout New Mexico. The Program Monitor position is essential for monitoring licensing and certification regulatory compliance for specific child/adolescent medically necessary services (reimbursed by Medicaid) and licensed facilities across New Mexico.
- The Licensing and Certification Authority (LCA) Bureau monitors health, safety, supervision, and quality of care for residential and community-based services and facilities throughout New Mexico.
- Program Monitors license and certify statewide Medicaid behavioral health service programs for children and adolescents. Program Monitors contribute to the review of service delivery during the course of their provider compliance activities while on survey.
- They conduct surveys to evaluate service quality and compliance.
- They also work with the LCA team to determine prospective provider readiness for initial licensure and certification.
- Program Monitors work with the Team to propose sanctions for programs substantially out of compliance with Medicaid Standards of Care and CYFD licensing and certification requirements.
- They monitor and track regulatory progress on assigned caseloads.
- They also conduct health, safety or quality of care investigations as indicated and write associated reports. Program Monitors also provide expertise regarding behavioral health programming.
- Monitoring of health, safety, welfare, active treatment, quality of care, and regulatory compliance information is conducted through surveys, investigations, focused reviews, and inquiries which also includes travel throughout the state.[33.4%].
- Monitoring of health, safety, welfare, active treatment, quality of care, and regulatory compliance information is conducted through reviewing, triaging, and conducting follow-up to Serious Incident Reports (SIR), Statewide Central Intake (SCI) reports complaints, concerns, and additional referrals. [33.3%]
- Ensuring adherence to CYFD mission to improve quality of lives for children is conducted through ongoing stakeholder and LCA communication, collaboration, and cooperation via technical assistance, corrective action planning, and follow-up [33.3%].