PRIOR AUTHORIZATION DATA CALL

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 2022-011 June 15, 2022 TO: ALL MAJOR MEDICAL HEALTH INSURANCE CARRIERS, MEDICAID MANAGED CARE ORGANIZATIONS, AND HEALTH CARE PURCHASING ACT PLAN ADMINISTRATORS RE: PRIOR AUTHORIZATION DATA CALL Section 59A-22B-4 NMSA 1978 of the Prior Authorization Act (“the Act”) requires the Office of Superintendent of Insurance (“OSI”) to collect and issue a report on adherence to the Act and accompanying regulations. Accordingly, all entities subject to the Act shall complete and submit to OSI the data reporting form available for download on OSI’s website at https://tinyurl.com/3udcjsrp by 12:00 p.m. on August 15, 2022 to Rolanda Pana at rolanda.pana@state.nm.us. Failure to timely submit a completed report is subject to the administrative penalties outlined in Section 59A-22B-4 NMSA 1978 of the Act. Any questions should be directed to Ms. Pana at her email address, or via telephone at (505) 412-9651. Every subject entity shall report data separately for fully-insured lines of major medical business, Medicaid coverage, including fee for service coverage, and coverage provided under the Health Care Purchasing Act. Reporting for fully-insured lines of major medical business shall be aggregated for all markets. Only include data from the 2021 plan year. ISSUED this 15th day of June, 2022. __________________________________ RUSSELL TOAL Superintendent of Insurance