N.M. Stat. § 59A-22-39.2
Prior authorization for gynecological or obstetrical
ultrasounds prohibited.
A. An individual or group health insurance policy, health care plan or certificate of
insurance that is delivered, issued for delivery or renewed in this state and that provides
coverage for gynecological or obstetrical ultrasounds shall not require prior
authorization for gynecological or obstetrical ultrasounds.
B. Nothing in this section shall be construed to require payment for a gynecological
or obstetrical ultrasound that is not:
(1)
medically necessary; or
(2)
a covered benefit.
C. As used in this section, "prior authorization" means advance approval that is
required by a health insurance policy, health care plan or certificate of insurance as a
condition precedent to payment for medical care or related benefits rendered to a
covered person, including prospective or utilization review conducted prior to the
provision of covered medical care or related benefits.