News Flash

News Releases

Posted on: March 20, 2020

State Medicaid Program and Superintendent of Insurance issue new requirements to promote telemedicin

girl talking on the phone

SANTA FE – New Mexico’s Medicaid Program is now requiring managed care organizations to reimburse doctors, behavioral health providers and other health care professionals for telephone and video patient visits until the end of the COVID-19 public health emergency.

Health care providers who consult with patients via telephone or computer video must be paid the same rate as if they’d seen the patient in person, according to a Letter of Direction from Medicaid Director Nicole Comeaux to the state’s managed care organizations, which cover about 680,000 New Mexicans in the state’s Medicaid program.

Telemedicine is another way to prevent social contact and reduce the chances of spreading COVID-19.

“It’s vitally important that Medicaid members – who make up almost half of all New Mexicans – have safe access to health care during the COVID-19 pandemic,” Comeaux said. “We are working closely with our provider networks to ensure they’re adequately supported, and we are also pursuing every federal option to secure reimbursements for providers who are delivering needed health care to New Mexicans in unconventional settings.”

Superintendent of Insurance Russell Toal informed insurance companies that cover New Mexicans with private health insurance that they, too, are expected to cover telehealth services at the same rate they pay for in-person services and comply with mental health parity laws during this public health emergency.

Mental health parity law requires health plans to cover mental health and addiction treatment services the same way they treat other medical services.

“All New Mexicans should receive the same protections under their health insurance plans, regardless of the source of their health coverage,” Gov. Michelle Lujan Grisham said.

The Medicaid program and the Office of the Superintendent have worked closely to align strategies to protect New Mexicans and their health care providers and to maximize access to needed health care services while practicing social distancing.

Toal said behavioral health services are critically important during the public health emergency.

“Our office has received complaints from patients who need behavioral health services, and we will enforce regulatory requirements that require mental health parity and access to telemedicine,” he said.

The Medicaid Letter of Direction also requires managed care organizations to:

  • Waive all prior authorizations for members to obtain COVID-19 testing and treatment services (including inpatient and outpatient), and to alert providers of this provision;
  • Expand nurse advice lines to operate 24 hours a day, seven days a week for the duration of the emergency if such functionality does not already exist;
  • Coordinate with home care providers to ensure continued in-person services for those who need them while using telephone visits to the extent possible;
  • Allow for replacement of durable medical equipment, prosthetics, orthotics and supplies when they are lost, destroyed, irreparably damaged or otherwise rendered unusable without the face-to-face requirement for obtaining a new physician’s order and new medical necessity documentation;
  • Reimburse for prescriptions dispensed in amounts up to a 90-day supply (excluding controlled substances).

The New Mexico Human Services Department is also waiving the maximum-supply requirement for maintenance drugs and relaxing restrictions on early medication refills as follows:

  • 30-day prescriptions may be refilled when the member has two weeks of medication on-hand, or what is allowed by the managed-care organization if less restrictive;
  • 90-day prescriptions may be refilled when the member has three weeks of medication on-hand, or what is allowed by the managed-care organization if less restrictive.

Facebook Twitter Email

Other News in News Releases

COVID-19

JIC Notes April 3, 2020

Posted on: April 3, 2020
COVID-19

JIC Notes April 2, 2020

Posted on: April 2, 2020
COVID-19

JIC Notes April 1, 2020

Posted on: April 1, 2020
Image of City Hall

Notice of Intent to Approve

Posted on: March 30, 2020
COVID-19

JIC Notes March 30, 2020

Posted on: March 30, 2020
Orange Barrel in the middle of the roadway with vehicles in the background

I-25 North On-Ramp Detour

Posted on: March 30, 2020
COVID-19

JIC Notes March 27, 2020

Posted on: March 27, 2020
The Logo form the Governor of NM Office

K-12 school closings

Posted on: March 27, 2020
COVID-19

All Together NM Fund Announced

Posted on: March 26, 2020
COVID-19

JIC Notes March 26, 2020

Posted on: March 26, 2020
man cleaning up the streets

Solid Waste System Restrictions

Posted on: March 26, 2020
Lane Closure with barrels

Sonoma Ranch Boulevard Lane Closure

Posted on: March 26, 2020
Image of the Covid-19

JIC Notes March 24, 2020

Posted on: March 25, 2020
Department of Health Logo

New Mexico COVID-19 Update: One Death

Posted on: March 25, 2020
Woman with legs stretching up against wall

Bring Fitness Inside!

Posted on: March 24, 2020
COVID-19

COVID-19 JIC Notes 3/24/2020

Posted on: March 24, 2020
Department of Health Logo

NM Executive Order FAQs

Posted on: March 23, 2020
COVID-19

COVID-19 JIC Notes 3/23/2020

Posted on: March 23, 2020
Image of Coronavirus

New public health order in effect

Posted on: March 19, 2020
COVID-19

COVID-19 Testing in Las Cruces

Posted on: March 19, 2020
COVID-19

COVID-19 JIC Notes 3/18/2020

Posted on: March 18, 2020
Las Cruces City Hall

City Expands COVID-19 Alert Center

Posted on: March 18, 2020
Image of Coronavirus

COVID-19 JIC Notes 3/17/2020

Posted on: March 17, 2020
Image of Coronavirus

COVID-19 JIC Notes 3/16/2020

Posted on: March 16, 2020
baseball in glove

City Ball Fields Use Suspended

Posted on: March 13, 2020
Group of people cleaning up areas.

Beautify the Team Up to Clean Up Way!

Posted on: February 28, 2020
Woman putting coins into a pig bank

Minimum Wage 2020

Posted on: October 15, 2019
image of old movie records

Free Monthly Movies at Branigan Library!

Posted on: October 25, 2019