Section 13-7-23 – Pharmacist prescriptive authority services; reimbursement parity.
A group health plan shall reimburse a participating provider that is a certified pharmacist clinician or pharmacist certified to provide a prescriptive authority service who provides a service at the standard contracted rate that the group health plan reimburses, for the same service under that group health plan, any licensed physician or physician assistant licensed […]
Section 13-7-24 – Heart artery calcium scan coverage.
A. Group health coverage, including any form of self-insurance, offered, issued or renewed under the Health Care Purchasing Act shall provide coverage for eligible insureds to receive a heart artery calcium scan. B. Coverage provided pursuant to this section shall: (1) be limited to the provision of a heart artery calcium scan to an eligible […]
Section 13-7-9 – General anesthesia and hospitalization for dental surgery.
A. Group health care coverage, including any form of self-insurance, offered, issued or renewed under the Health Care Purchasing Act shall provide coverage for hospitalization and general anesthesia provided in a hospital or ambulatory surgical center for dental surgery for the following: (1) insureds exhibiting physical, intellectual or medically compromising conditions for which dental treatment […]
Section 13-7-10 – Hearing aid coverage for children required.
A. Group health care coverage, including any form of self-insurance, offered, issued or renewed under the Health Care Purchasing Act shall provide coverage for a hearing aid and any related service for the full cost of one hearing aid per hearing-impaired ear up to two thousand two hundred dollars ($2,200) every thirty-six months for hearing […]
Section 13-7-11 – Required coverage of patient costs incurred in cancer clinical trials.
Group health coverage, including any form of self-insurance, offered, issued or renewed under the Health Care Purchasing Act shall provide coverage pursuant to Section 59A-22-43 NMSA 1978 for routine patient care costs incurred as a result of the patient’s participation in cancer clinical trials. History: Laws 2009, ch. 212, § 1. ANNOTATIONS Effective dates. — […]
Section 13-7-12 – Coverage for orally administered anticancer medications; limits on patient costs.
A. Group health coverage, including any form of self-insurance, offered, issued or renewed under the Health Care Purchasing Act that provides coverage for cancer treatment shall provide coverage for a prescribed, orally administered anticancer medication that is used to kill or slow the growth of cancerous cells on a basis no less favorable than intravenously […]
Section 13-7-13 – Coverage of prescription eye drop refills.
A. Group health coverage, including any form of self-insurance, offered, issued or renewed under the Health Care Purchasing Act that provides coverage for prescription eye drops shall not deny coverage for a renewal of prescription eye drops when: (1) the renewal is requested by the insured at least twenty-three days for a thirty-day supply of […]
Section 13-7-14 – Coverage for telemedicine services.
A. Group health coverage, including any form of self-insurance, offered, issued or renewed under the Health Care Purchasing Act shall provide coverage for services provided via telemedicine to the same extent that the group health plan covers the same services when those services are provided via in-person consultation or contact. A group health plan shall […]
Section 13-7-5 – Consolidated purchasing for other persons.
A. Counties, municipalities, state educational institutions and other political subdivisions that wish to use the consolidated purchasing single process for the procurement of health care benefits shall create or enter into an existing association, cooperative or other mutual alliance to create larger pools of eligible participants. B. Counties, municipalities, state educational institutions and other political […]
Section 13-7-6 – Use of social security numbers.
The publicly funded health care agencies, political subdivisions and other persons providing health care benefits through the consolidated purchasing single process, in compliance with state and federal law, shall not require the use of participants’ social security numbers as health care benefit plan identification numbers. History: Laws 2001, ch. 351, § 2. ANNOTATIONS Effective dates. […]