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

  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Contract: A legal written agreement that becomes binding when signed.
  • Dependent: A person dependent for support upon another.
  • Electronic funds transfer: The transfer of money between accounts by consumer electronic systems-such as automated teller machines (ATMs) and electronic payment of bills-rather than by check or cash. (Wire transfers, checks, drafts, and paper instruments do not fall into this category.) Source: OCC
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Lease: A contract transferring the use of property or occupancy of land, space, structures, or equipment in consideration of a payment (e.g., rent). Source: OCC
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • Precedent: A court decision in an earlier case with facts and law similar to a dispute currently before a court. Precedent will ordinarily govern the decision of a later similar case, unless a party can show that it was wrongly decided or that it differed in some significant way.
  • Remainder: An interest in property that takes effect in the future at a specified time or after the occurrence of some event, such as the death of a life tenant.