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New Mexico Statutes Annotated 1978
Chapter 59A
46
Health Maintenance Organizations
State of New Mexico
59A-46-1
Short title
59A-46-2
Definitions
59A-46-3
Establishment of health maintenance organizations
59A-46-4
Issuance of certificate of authority
59A-46-5
Powers of health maintenance organizations
59A-46-6
Fiduciary responsibilities; fidelity bond
59A-46-7
Quality assurance program
59A-46-8
Requirements for group contract, individual contract and evidence of coverage
59A-46-9
Annual report
59A-46-10
Information to enrollees or subscribers
59A-46-11
Grievance procedures
59A-46-12
Investments
59A-46-13
Protection against insolvency
59A-46-14
Uncovered expenditures insolvency deposit
59A-46-16
Filing requirements for rating information
59A-46-17
Regulation of health maintenance organization insurance producers
59A-46-18
Powers of insurers
59A-46-19
Examinations
59A-46-20
Suspension or revocation of certificate of authority
59A-46-21
Rehabilitation, liquidation or conservation of health maintenance organizations
59A-46-22
Summary orders and supervision
59A-46-23
Regulations
59A-46-24
Fees
59A-46-25
Penalties and enforcement
59A-46-26
Filings and reports as public documents
59A-46-26.1
Employer utilization and loss experience availability
59A-46-27
Confidentiality of medical information and limitation of liability
59A-46-28
Authority to contract
59A-46-29
Health maintenance organizations; contract or certificate provisions relating to individuals who are eligible for medical benefits under the medicaid program
59A-46-30
Statutory construction and relationship to other laws
59A-46-31
Coordination of benefits
59A-46-32
Continuation of coverage and conversion rights; health care plans
59A-46-33
Governing body
59A-46-34
Prohibited practices
59A-46-35
Provider discrimination prohibited
59A-46-36
Doctor of oriental medicine; discrimination prohibited
59A-46-37
Coverage for adopted children
59A-46-38
Newly born children coverage
59A-46-38.1
Coverage of children
59A-46-38.2
Childhood immunization coverage required
59A-46-38.3
Maximum age of dependent
59A-46-38.4
Coverage of circumcision for newborn males
59A-46-38.5
Hearing aid coverage for children required
59A-46-39
Maternity transport required
59A-46-40
Home health care service option required
59A-46-41
Coverage for mammograms
59A-46-41.1
Mastectomies and lymph node dissection; minimum hospital stay coverage required
59A-46-41.3
Diagnostic and supplemental breast examinations
59A-46-42
Coverage for cytologic and human papillomavirus screening
59A-46-42.1
Coverage for the human papillomavirus vaccine
59A-46-43
Coverage for individuals with diabetes
59A-46-43.2
Coverage for medical diets for genetic inborn errors of metabolism
59A-46-44
Coverage for contraception
59A-46-45
Coverage for smoking cessation treatment
59A-46-46
Coverage of alpha-fetoprotein IV screening test
59A-46-47
Coverage of part-time employees
59A-46-48
Coverage of colorectal cancer screening
59A-46-49
General anesthesia and hospitalization for dental surgery
59A-46-50
Coverage for autism spectrum disorder diagnosis and treatment
59A-46-50.1
Coverage for orally administered anticancer medications; limits on patient costs
59A-46-50.2
Coverage of prescription eye drop refills
59A-46-50.3
Coverage for telemedicine services
59A-46-50.4
Prescription drugs; prohibited formulary changes; notice requirements
59A-46-50.5
Heart artery calcium scan coverage
59A-46-52
Prescription drug prior authorization protocols
59A-46-52.1
Prescription drug coverage; step therapy protocols; clinical review criteria; exceptions
59A-46-52.2
Pharmacist prescriptive authority services; reimbursement parity
59A-46-52.3
Calculating an enrollee's cost-sharing obligation for prescription drug coverage
59A-46-53
Pharmacy benefits; prescription synchronization
59A-46-54
Provider credentialing; requirements; deadline
59A-46-55
Coverage exclusion. (Contingent repeal. See note below.)
59A-46-56
Physical rehabilitation services; limits on cost sharing
59A-46-57
Behavioral health services; elimination of cost sharing
59A-46-58
Anatomical gift nondiscrimination
59A-46-59
Chiropractic physician services; limits on cost sharing and coinsurance
59A-46-60
Sexually transmitted infection care; cost sharing eliminated
59A-46-61
Definitions
59A-46-62
Benefits required
59A-46-63
Parity for coverage of mental health or substance use disorder services
59A-46-64
Provider network adequacy
59A-46-65
Utilization review of mental health or substance use disorder services
59A-46-66
Prohibited exclusions of coverage for mental health or substance use disorder services
59A-46-67
Level of care determinations for the provision of mental health or substance use disorder services
59A-46-68
Coordination of care
59A-46-69
Confidentiality provisions
59A-46-70
Exceptions
59A-46-71
Biomarker testing coverage
59A-46-72
Medical necessity and nondiscrimination standards for coverage of prosthetic devices, custom orthotic devices or complex rehabilitation technology devices