What are you looking for? Property & CasualtyFinancial RegulationAccredited ReinsurersFinancial StatementsFinancial Examinations Financial Examinations ArchiveFinancial and Market Conduct Examinations - ArchiveTitle Insurance Forms & TablesASR USR Schedules & InstructionsStatistical ReportsIndividuals and AgenciesContinuing Education (CE)Criminal OffenseLicense Status VerificationAnnual/Quarterly ChecklistsFraud AssessmentsCompany LicensingRenewalsStatutory DepositsFeesApplying for Admission & ApplicationsLife and Health DivisionProduct FilingPharmacy Benefit Managers (PBM) Reports, New Mexico Health Access Survey, and BriefsContracted and External ReportsOSI Health Insurance BriefsThe 2023 New Mexico Health Access SurveyResource BinderConsumer Assistance Plan Continuous Quality ImprovementCoverage for Individuals with Diabetes (HB53)Cultural and Linguistic PlanDebt Collection Protection Act - Provider ResourceDental Provider CredentialingGuidance for CarriersHealth Rate ReviewManaged Health Care Compliance DeadlinesMember GrievanceMental Health ParityMonthly Member EnrollmentNetwork AdequacyPrescription Drug Price TransparencyProvider CredentialingProvider GrievanceRequest for Confidential StatusSmall Business Health Insurance Premium Relief InitiativeUtilization ManagementVaccine Purchasing Act OSI Events Calendar View our calendar of events OSI regulates insurers’ provider access for major medical health insurance plans. See details below on OSI’s provider access regulatory requirements. Please download and review each document carefully. If a web preview distorts the formatting, downloading the file directly should correct the issue. Network Adequacy – Existing Networks Network Adequacy Guidance Chart_v2 (Updated 10/2026) Cover Letter_v2 (Updated 10/2026) Attestation_v1 (Updated 10/2025) Templates – Existing Networks Section 1 Template Provider Directory Accuracy_v2 (PDF) (Updated 10/2026) Section 1 Template Provider Directory Screenshots_v1 (PDF) (Updated 10/2025) Section 2 Template Provider Directory Searches_v1 (PDF) (Updated 10/2025) Workbooks – Existing Networks Section 1 Workbook Provider Directory Accuracy_v2 (Updated 10/2026) Section 3 Workbook Time and Distance_v2 (Updated 10/2026) Section 4 Workbook Provider Lists_v2 (Updated 10/2026) Section 5 Workbook Wait Times_v2 (Updated 10/2026) Section 6 Workbook Exceptions Requests_v2 (Updated 10/2026) Instructions and Reporting Templates for QHPs Only CMS Network Adequacy Standards OSI QHP Guidance for Carriers Reports and News Surprise Billing Press Release (PDF) Regulations 13.10.22.8 NMAC Dental Network Adequacy 13.10.35 NMAC Letter of self-attestation of compliance due Oct. 1st of each year Surprise Billing Surprise billing happens when people unknowingly get care from providers that are outside of their health plan’s network and can happen for both emergency and non-emergency care. OSI is responsible for the enforcement of New Mexico’s Surprise Billing Protection Act and portions of the federal No Surprises Act. Know Your Rights Endorsement (PDF) Benchmark Organization Selection RFI (PDF) Response (PDF) Bulletin 2019-012 (PDF) Data Calls Bulletin 2025-003 (PDF) Surprise Billing Data Call template – Updated 05/2025 Reports (Coming Soon) Air Ambulance (PDF) (PDF) No Surprises Act (Coming Soon) Rules – 13.10. 28 NMAC Complaints Members can file complaints about network adequacy here Providers can file complaints about network adequacy here (PDF)
