N.M. Stat. § 27-2-12.18
Medical assistance; prescription drugs; prior
authorization request form; prior authorization protocols.
A. Beginning January 1, 2014, the department shall require its medicaid contractors
to accept the uniform prior authorization form developed pursuant to Sections 2 [59A-2-
9.8 NMSA 1978] and 3 [61-11-6.2 NMSA 1978] of this 2013 act. The department shall
require its medicaid contractors to accept the uniform prior authorization form as
sufficient to request prior authorization for prescription drug benefits on behalf of
recipients.
B. The department shall require its medicaid contractors to respond within three
business days upon receipt of a uniform prior authorization form. The department shall
require each of its medicaid contractors to deem a prior authorization as having been
granted if the contractor has failed to respond to the prior authorization request within
three business days.