N.M. Stat. § 59A-23-6.2
Prior authorization for gynecological or obstetrical
ultrasounds prohibited.
A. A blanket or group health insurance policy or contract 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 blanket or group health insurance policy or contract 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.