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Prior authorization for gynecological or obstetrical ultrasounds prohibited

NMSA 1978, § 27-2-12.25
in effect
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27-2-12.25. Prior authorization for gynecological or obstetrical ultrasounds prohibited A. The department shall prohibit its medicaid managed care and fee-for-service contractors from requiring 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 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. Laws 2019, ch. 182, § 2
Source: New Mexico Compilation Commission (nmonesource.com)URL: https://nmonesource.com/nmos/nmsa-unanno/en/item/18527/index.do#!b/27-2-12.25Fetched: 10/20/2026

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