New Mexico § 59A-46-67 Level of care determinations for the provision of mental

New Mexico Statutes

§ 59A-46-67 — Level of care determinations for the provision of mental

New Mexico § 59A-46-67

Ch. 59AInsurance Code

Art. 46Health Maintenance Organizations

This text of New Mexico § 59A-46-67 (Level of care determinations for the provision of mental) is published on Counsel Stack Legal Research, covering New Mexico primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

N.M. Stat. Ann. § 59A-46-67 (2026).

Text

health or substance use disorder services.

A.A carrier shall provide coverage for all in-network mental health or substance use disorder services, consistent with generally recognized standards of care, including placing an enrollee into a medically necessary level of care.

B.Changes in level and duration of care shall be determined by the enrollee's provider in consultation with the carrier.

C.Level of care determinations shall include placement of an enrollee into a facility that provides detoxification services, a hospital, an inpatient rehabilitation treatment facility or an outpatient treatment program.

D.Level of care services for an enrollee with a mental health or substance use disorder shall be based on the mental health or substance use disorder needs of the enrollee rather t

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health or substance use disorder services. A. A carrier shall provide coverage for all in-network mental health or substance use disorder services, consistent with generally recognized standards of care, including placing an enrollee into a medically necessary level of care. B. Changes in level and duration of care shall be determined by the enrollee's provider in consultation with the carrier. C. Level of care determinations shall include placement of an enrollee into a facility that provides detoxification services, a hospital, an inpatient rehabilitation treatment facility or an outpatient treatment program. D. Level of care services for an enrollee with a mental health or substance use disorder shall be based on the mental health or substance use disorder needs of the enrollee rather than arbitrary time limits.