N.M. Stat. § 61-11-6.2
Prior authorization request form; development.
A. On or before January 1, 2014, the board shall jointly develop with the insurance
division of the public regulation commission a uniform prior authorization form that,
notwithstanding any other provision of law, a prescribing practitioner in the state shall
use to request prior authorization for coverage of prescription drugs. The uniform prior
authorization form shall:
(1)
not exceed two pages;
(2)
be made electronically available on the web site of the insurance division
and on the web site of each health insurer, plan or health maintenance organization that
uses the form;
(3)
be developed with input received from interested parties pursuant to at
least one public meeting; and
(4)
take into consideration the following:
(a) any existing prior authorization forms that the federal centers for medicare
and medicaid services or the human services department [health care authority
department] has developed; and
(b) any national standards pertaining to electronic prior authorization for
prescription drugs.
B. As used in this section, "prescribing practitioner" means a person that is licensed
or certified to prescribe and administer drugs that are subject to the New Mexico Drug,
Device and Cosmetic Act [Chapter 26, Article 1 NMSA 1978].