• Managed Health Care Compliance Deadlines

Compliance Filing

Filing Deadline

Network Adequacy – QHP Existing Plans

January 1

Network Adequacy – QHP New Networks with Enrollment

February 15

Network Adequacy – QHP New Networks without Enrollment

March 1

Member Grievance

March 1

Member Grievance Logs

March 1

Provider Contract Certificate/Manual

March 1

Provider Grievance

March 1

Surprise Billing Data Call

May 1

Provider Credentialing Report (odd years)

May 1

Network Adequacy – Large Group Only

June 1

QHP Certification

June 1

Consumer Assistance Plan

June 1

Cultural and Linguistic Diversity

June 1

Prior Authorization Data Call (submit with UM filing in section 20)

September 1

Utilization Management

September 1

Gold Carding Data Call

September 30

Continuous Quality Improvement

October 1

Dental Network Adequacy Attestation of Compliance

October 1

Recent News

Get the latest information about rule changes, legislation, industry information and consumer news.

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New Mexico Officials Demonstrate How Home Wildfire Mitigation Can Reduce Ignition Risk

Socorro, N.M. — The New Mexico Office of the Superintendent of Insurance (OSI) partnered with the Insurance Institute for Business & Home Safety (IBHS) and the State Fire Marshalls Dept. on October 7 to demonstrate how wildfire mitigation can affect a home’s vulnerability to fire. The demonstration compared model homes with different levels of wildfire […]

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NEW MEXICO ANNOUNCES RATES FOR 2027 ACA PLANS, STATE PREMIUM SUPPORT WILL CONTINUE TO HELP ENROLLEES WITH COSTS

Contact: Life and Health Product Filing BureauEmail: life.health@osi.nm.gov SANTA FE, N.M. – The New Mexico Office of Superintendent of Insurance (OSI) has approved 2027 rates for individual market Affordable Care Act (ACA) plans sold on and off BeWell, the New Mexico Health Insurance Marketplace. The average increase is 24.4%; OSI scrutinized the rates and they […]

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