2018 New Mexico Statutes
Chapter 59A - Insurance Code
Article 2 - Office of Superintendent of Insurance
Section 59A-2-9.8 - Prior authorization request form; development.
A. On or before January 1, 2014, the division shall jointly develop with the board of pharmacy a uniform prior authorization form that, notwithstanding any other provision of law, a prescribing practitioner in the state shall use to request prior authorization for coverage of prescription drugs. The uniform prior authorization form shall:
(1) not exceed two pages;
(2) be made electronically available on the web site of the division and on the web site of each health insurer, health care plan or health maintenance organization that uses the form;
(3) be developed with input received from interested parties pursuant to at least one public meeting; and
(4) take into consideration the following:
(a) any existing prior authorization forms that the federal centers for medicare and medicaid services or the human services department has developed; and
(b) any national standards pertaining to electronic prior authorization for prescription drugs.
B. As used in this section, "prescribing practitioner" means a person that is licensed or certified to prescribe and administer drugs that are subject to the New Mexico Drug, Device and Cosmetic Act [Chapter 26, Article 1 NMSA 1978].
History: Laws 2013, ch. 170, § 2.
Effective dates. — Laws 2013, ch. 170 contained no effective date provision, but, pursuant to N.M. Const., art. IV, § 23, was effective June 14, 2013, 90 days after the adjournment of the legislature.
