New Mexico Prior Authorization Requirements
A guide to prior authorization rules, turnaround times, and laws for medical practices operating in New Mexico (NM).
PA Turnaround Times
Standard Requests
14 calendar days
Urgent / Expedited
72 hours
Key Regulations
- Standard PA turnaround of 14 calendar days
- Urgent requests within 72 hours
New Mexico Medicaid PA
New Mexico Medicaid (Centennial Care) uses managed care. PA is administered by the MCOs.
Top Payers in New Mexico
Blue Cross Blue Shield of New MexicoPresbyterian Health PlanUnitedHealthcareMolina Healthcare
State Regulatory Body: New Mexico Office of Superintendent of Insurance
File PA complaints or appeals through your state insurance department.
Automate PA in New Mexico
Greenlight knows every payer's PA requirements in New Mexico and checks them automatically before every appointment -- so your staff does not have to.
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