Detailed Answer
Under New Mexico law, the Human Services Department (HSD) may file a claim against a decedent’s estate to recover Medicaid benefits paid for long-term care. The recovery authority stems from NMSA 1978, § 27-2-10 (Medicaid Estate Recovery). To obtain and review the documentation of such a claim, follow these steps:
- Locate the Probate Case
Use the New Mexico Courts Case Lookup (nmcourts.gov/caselookup) or contact the county clerk’s office where probate was opened. Note the case number and filing date of the order admitting the will or appointing a personal representative. - Obtain Filed Claims
In probate, creditors—including HSD—must file a proof of claim within four months of the first notice to creditors under NMSA 1978, § 45-3-805 (Proof of Claim Deadline). Request copies of the Notice of Claim or Proof of Claim submitted by HSD from the clerk’s office. - Request Agency Records under IPRA
For detailed benefit records, submit an Inspection of Public Records Act request to HSD. Reference NMSA 1978, § 14-2-1 (IPRA). Include the decedent’s name, Medicaid ID, and service dates. Send your request to:
Human Services Department Records Access Bureau
1474 Rodeo Road, Bldg. C, Santa Fe, NM 87505 - Review Reimbursement Calculations
HSD will provide its calculation of benefits paid for nursing home or home-and-community-based services. Check dates of eligibility, service rates, and total amounts. Compare these figures against estate assets and other creditor claims. - Understand Probate Rules on Creditor Claims
Familiarize yourself with NMSA 1978, § 45-3-804 through § 45-3-810 (Creditor Claims in Probate). These sections set deadlines, notice requirements, and procedures for objecting to claims.
Helpful Hints
- Check the probate court website frequently for docket updates.
- Note the four-month deadline to file or object to a claim under NMSA 45-3-805.
- Keep detailed logs of all correspondence and document requests.
- Ask the clerk about any copying or certification fees for records.
- Consider consulting a probate attorney if the estate involves complex assets.
- Track the statute of limitations for challenging any filed claim.
Disclaimer: This article provides general information on New Mexico Medicaid estate recovery and probate. It is not legal advice. Consult a qualified attorney to address your specific situation.