New Mexico Statutes 59A-22B-6. Prior authorization rescinding or modifying prohibited
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A health insurer shall not rescind or modify an authorization for mental health or substance use disorder services that has been authorized, after the provider renders the services pursuant to a determination of medical necessity, in good faith, except for cases of fraud or violation of the provider’s contract with the health insurer.
Terms Used In New Mexico Statutes 59A-22B-6
- Contract: A legal written agreement that becomes binding when signed.
- Fraud: Intentional deception resulting in injury to another.