NM| OSI Bulletin 2025-001 issued by the New Mexico Office of Superintendent of Insurance outlines the process for health insurers to request approval for non-uniform prior authorization request forms, as mandated by the Prior Authorization Act.
Key Points:
- All health insurers must accept the New Mexico Uniform Prior Authorization Form, but they may request approval for alternative forms through a specific process involving submission to the Superintendent of Insurance.
- Even if a non-uniform form is approved, insurers must still accept the standard form and evaluate all requests using the same processes and timelines.
- Insurers may provide supplementary guides and forms to assist providers, but these cannot be mandatory without approval, and all approved forms must be clearly identified in provider manuals or portals.
