Health Care Purchasing | Midpage

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New Mexico Statutes Annotated 1978

7

Health Care Purchasing

State of New Mexico

13-7-1Short title 13-7-2Purpose of act 13-7-3Definitions 13-7-4Mandatory consolidated purchasing 13-7-5Consolidated purchasing for other persons 13-7-6Use of social security numbers 13-7-7Consolidated administrative functions; benefit 13-7-8Maximum age of dependent 13-7-9General anesthesia and hospitalization for dental surgery 13-7-10Hearing aid coverage for children required 13-7-11Required coverage of patient costs incurred in cancer clinical trials 13-7-12Coverage for orally administered anticancer medications; limits on patient costs 13-7-13Coverage of prescription eye drop refills 13-7-14Coverage for telemedicine services 13-7-15Prescription drugs; prohibited formulary changes; notice requirements 13-7-16Coverage for autism spectrum disorder diagnosis and treatment; permissible limitations 13-7-17Pharmacy benefits; prescription synchronization 13-7-17.1Community-based pharmacy reimbursement 13-7-18Prescription drug coverage; step therapy protocols; clinical review criteria; exceptions 13-7-19Prior authorization for gynecological or obstetrical ultrasounds prohibited 13-7-20Prior Authorization Act 13-7-21Physical rehabilitation services; limits on cost sharing 13-7-22Coverage for contraception 13-7-23Pharmacist prescriptive authority services; reimbursement parity 13-7-24Heart artery calcium scan coverage 13-7-25Coverage for individuals with diabetes; insulin for diabetes; cost-sharing cap 13-7-26Behavioral health services; elimination of cost sharing 13-7-27Diagnostic and supplemental breast examinations 13-7-28Chiropractic physician services; limits on cost sharing and coinsurance 13-7-29Sexually transmitted infection care; cost sharing eliminated 13-7-30Definitions 13-7-31Benefits required 13-7-32Parity for coverage of mental health and substance use disorder services 13-7-33Provider network adequacy 13-7-34Utilization review of mental health or substance use disorder services 13-7-35Prohibited exclusions of coverage for mental health or substance use disorder services 13-7-36Level of care determinations for the provision of mental health or substance use disorder services 13-7-37Coordination of care 13-7-38Confidentiality provisions 13-7-39Exceptions 13-7-40Biomarker testing insurer coverage 13-7-41Dental coverage; prior authorization 13-7-42Dental coverage; designation of payment 13-7-43Dental coverage; erroneously paid claims; restrictions on recovery 13-7-44Dental coverage; methods of payment 13-7-45Dental coverage; provider network leasing 13-7-46Prosthetic devices; custom orthotic devices; complex rehabilitation technology devices; minimum coverage 13-7-47Calculating an enrollee's cost-sharing obligation for prescription drug coverage