N.M. Stat. § 59A-22-36
Home health care service option required.
A. Each insurer which delivers or issues for delivery in this state an individual or
group hospital expense or major medical expense insurance policy shall make available
to the policyholder the option of home health care coverage which includes benefits for
the services described in this section.
B. Home health care coverage offered shall include:
(1)
services provided by a registered nurse or a licensed practical nurse;
(2)
health services provided by physical, occupational and respiratory
therapists and speech pathologists;
(3)
health services provided by a home health aide; and
(4)
medical supplies, drugs and medicines and laboratory services, to the
extent they would have been covered if provided to the insured on an in-patient basis.
C. Home health care coverage may be limited to:
(1)
services provided on the written order of a licensed physician, provided
such order is renewed at least every sixty (60) days;
(2)
services provided, directly or through contractual agreements, by a home
health agency licensed in the state in which the home health services are delivered; and
(3)
services, as set forth in Subsection B of the section, without which the
insured would have to be hospitalized.
D. Coverage shall be provided for at least one hundred (100) home visits per
insured per year, with each home visit including up to four (4) hours of home health care
services.
E. For the purposes of this section, "home health care" means health services
provided on a part-time, intermittent basis to an individual confined to his home due to
physical illness.