PROVIDER DIRECTORIES

STATE OF NEW MEXICO OFFICE OF SUPERINTENDENT OF INSURANCE SUPERINTENDENT OF INSURANCE Russell Toal DEPUTY SUPERINTENDENT Jennifer A. Catechis Main Office: 1120 Paseo de Peralta, Room 428, Santa Fe, NM 87501 Satellite Office: 6200 Uptown Blvd NE, Suite 400, Albuquerque, NM 87110 Main Phone: (505) 827-4601 | Satellite Phone: (505) 322-2186 | Toll Free: (855) 4 - ASK - OSI www.osi.state.nm.us BULLETIN 2021-013 July 27, 2021 TO: EVERY PERSON WHO ADMINISTERS A QUALIFIED HEALTH PLAN OFFERED OR PURCHASED ON THE NEW MEXICO HEALTH INSURANCE EXCHANGE RE: PROVIDER DIRECTORIES Bulletin 2016-22 directed health insurance carriers offering or administering qualified health plans (“QHP”s) on the New Mexico Health Insurance Exchange (“NMHIX”) to submit provider directories to the Office of Superintendent of Insurance (“OSI”) on the 15th of each month. The Bulletin required carriers to submit the directories in standard templates specified by the OSI. Beginning with the 2022 plan year, NMHIX is transitioning from its partnership with the Centers for Medicare and Medicaid Services (“CMS”) as a federally facilitated marketplace (“FFM”) to a fully state-based exchange (“SBE”). To facilitate the transition, the OSI is directing carriers and administrators to submit provider and facility directories directly to NMHIX on the 15th of every month, beginning with the August 15 submission. Specific direction on how and where to submit the directories in August will be issued by NMHIX. A carrier shall continue to use the OSI specified submission templates and instructions until otherwise directed by NMHIX. Links to current provider and facility templates, and instructions for completing them, are located on the OSI website at https://www.osi.state.nm.us/index.php/life-health-product-filings-bureau/. Click on “Information for Carriers” to access the links. Carriers are directed to follow all instructions from NMHIX concerning the provider directories, and to work in good faith with NMHIX to improve the accuracy of the data submitted. B U L L E T I N 2 0 2 1 - 0 1 3 P a g e | 2 Main Office: 1120 Paseo de Peralta, Room 428, Santa Fe, NM 87501 Satellite Office: 6200 Uptown Blvd NE, Suite 400, Albuquerque, NM 87110 Main Phone: (505) 827-4601 | Satellite Phone: (505) 322-2186 | Toll Free: (855) 4 - ASK - OSI www.osi.state.nm.us The directory is an important tool for NMHIX shoppers as it is used to populate on-line plan shopping in beWellNM.com. The directory helps consumers find plans that are within their price range and that have their preferred providers in-network. An accurate directory will help carriers better market their plans to Exchange shoppers who use the shopping tools. Thank you for your cooperation ISSUED this 27th day of July, 2021. ______________________________ RUSSELL TOAL Superintendent of Insurance