N.M. Stat. § 59A-46-41.2
Prior authorization for gynecological or obstetrical
ultrasounds prohibited.
A. An individual or group health maintenance organization 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 a health maintenance organization 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.