| Provider Director(ies) |
Monthly on or before the 15th of each month |
NM OSI Bulletin #2016-025 |
Data upload |
| Network Adequacy |
Annually on or before Jan 1st; updates and ECP requirements to be provided with annual QHP submission |
13.10.22.8 NMAC (through October, 2019), 13.10.30 (effective for 2020 submissions) |
SERFF Submission |
| Credentialing Report |
Every two years on or before December 31st beginning in 2018 |
13.10.28.10 NMAC |
SERFF Submission |
| Provider Contract Certificate |
Annually on or before March 1st |
13.10.22.12 NMAC |
SERFF Submission |
| Provider Grievance Plan |
Annually on or before March 1st |
13.10.16 and 13.10.28 NMAC |
SERFF Submission |
| Member Grievance Plan |
Annually on or before March 1st |
13.10.17 NMAC |
SERFF Submission |
| Cultural & Linguistic Diversity Plan |
Annually on or before June 1st |
13.10.22.11 NMAC |
SERFF Submission |
| Consumer Assistance |
Annually on or before June 1st |
13.10.13.13 NMAC |
SERFF Submission |
| Continuous Quality Improvement Plan |
Annually on or before Oct 1st; updates to be provided with QHP annual submission |
13.10.22.10 NMAC |
SERFF Submission |
| Utilization Management Plan |
Annually on or before Oct 1st; updates to be provided with QHP annual submission |
13.10.22.9 NMAC |
SERFF Submission |