IPRA Requests

Notice: New Process Regarding IPRA Request Submissions

Effective April 15, 2024, the Patient Compensation Fund (“PCF”) will utilize the Office of Superintendent of Insurance (“OSI”) web-based portal (GovQA) for records request submissions pursuant to the Inspection of Public Records Act (“IPRA”).

Users will be able to track their request’s progress, receive updates and download responsive records. By managing all aspects of the IPRA request process through this portal, the goal is to make the process more user-friendly, efficient and transparent.

Please be advised that many public records regarding the PCF are publicly available at: https://nmcf.osi.state.nm.us/ and https://pcf.osi.state.nm.us/index.php/reports-and-records/.

For access to the GovQA portal, please use this link: https://newmexicoosi.govqa.us/WEBAPP/_rs/.

Requester’s Rights:

Every person has a right to inspect the public records of the Patient’s Compensation Fund except those records falling within the exceptions listed in the Inspection of Public Records Act (“IPRA”), found at1978 NMSA Sections 14-2-1 through 14-2-12.

PCF Advisory Board

The following records are available for immediate download:

Judicial Opinions  

Administrative Appeals and Declaratory Judgments

PCF Public Portal

Search Public Records – You do not need login credentials to use the public portal.

Actuarial Reports  

2024 Actuarial Report:

Pinnacle Actuarial Report for Year End December 31, 2023

2023 Actuarial Report:

Pinnacle Actuarial Report for Year Ended December  31, 2022

2022 Actuarial Report:

Pinnacle Actuarial Report

2021 Actuarial Reports:

Milliman Actuarial Report

2020 Actuarial Reports:

Milliman/TDC PCF Cap Analysis Report
Actuarial Review of PCF Structural Considerations
2019 Actuarial Analysis of New Mexico Patient’s Compensation Fund
Merlinos Second Opinion Report

2019 Actuarial Reports:

Pinnacle Final Report
Class Plan Report
Hospital Outpatient Facility Rating Plan Report
Indicated Funding with Risk Margin

2018 Actuarial Report:

Pinnacle Final Report
Milliman/NM Hospital RPG Actuarial Report

2017 Actuarial Report:

Pinnacle Final Report

2015 Actuarial Report: 

Pinnacle Final Report / Section 1
Pinnacle Final Report / Section 2
Pinnacle Final Report / Section 3

Facility Ratings:
QHP Facility Rating Spreadsheet (2022)

Rules

NMSA 41-5

NMAC 13.21

Rate & Rulemaking Hearings

2024 Rate Hearing (Docket No. 2024-0005-PCF)

2023 Rate Hearing (Docket No. 2023-0018-PCF)

2022 Rate Hearing (Docket No. 22-0044)

2021 Rate Hearing  (Docket No. 21 -0004 – PCF)

2021 Rulemaking (Docket 21-0005-PCF)

2019 Rate Hearing (DOCKET NO. 19-0004-PCF)

Order of Admission Year 2017 – Docket No. 21-00001-PCF

Order of Admission Year 2018 – Docket No – 21-0002-PCF

Order of Admission Year 2019 – Docket No. 21-0003-PCF

Order of Admission Year 2020 – Docket No. 21-0006-PCF

Order of Admission for January Through June 2021 – Docket No. 21-0007-PCF

Order of Admission for June through December 2021 – Docket No. 2022-0025

Order of Admission for Year 2022 – Docket No. 2024-0016

Order of Admission for Year 2023 Section 1- Docket No. 2024-0017 

Order of Admission for Year 2023 Section 2- Docket No. 2024-0017

Order of Admission for Year 2024 (First Half) – Docket No. 2024-0067

QHP Facility Rating

Click here to download QHP Facility Rating Spreadsheet 2023

Click here to download QHP Facility Rating Spreadsheet 2022