2011 New Mexico Statutes
Chapter 59A: Insurance Code
Article 57: Patient Protection, 59A-57-1 through 59A-57-11
Section 59A-57-7: Point-of-service option plan.
59A-57-7. Point-of-service option plan.
A. Except as otherwise provided in this section, the department may require a plan that offers a point-of-service plan or open plan to include in any managed health care plan it offers an option for a point-of-service plan or open plan to the extent that the department determines that the open plan option is financially sound.
B. No health care insurer may be required to offer a point-of-service plan or open plan as an option under a medicaid-funded managed health care plan unless the human services department has established such a requirement as part of a procurement for managed health care under the medicaid program.
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