• Managed Health Care Compliance Deadlines

Compliance Filing

Filing Deadline

Network Adequacy – QHP Existing Plans

January 1

Network Adequacy – QHP New Networks with Enrollment

February 15

Network Adequacy – QHP New Networks without Enrollment

March 1

Member Grievance

March 1

Member Grievance Logs

March 1

Provider Contract Certificate/Manual

March 1

Provider Grievance

March 1

Surprise Billing Data Call

May 1

Provider Credentialing Report (odd years)

May 1

Network Adequacy – Large Group Only

June 1

QHP Certification

June 1

Consumer Assistance Plan

June 1

Cultural and Linguistic Diversity

June 1

Prior Authorization Data Call (submit with UM filing in section 20)

September 1

Utilization Management

September 1

Gold Carding Data Call

September 30

Continuous Quality Improvement

October 1

Dental Network Adequacy Attestation of Compliance

October 1

Recent News

Get the latest information about rule changes, legislation, industry information and consumer news.

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New Mexico Annual Appointment Renewal 2027

DATE: November 4th, 2026 TO: Insurance Companies with New Mexico Agent Appointments SUBJECT: New Mexico Agent Appointment Renewal Invoices for 2027 The New Mexico Office of the Superintendent of Insurance (OSI) will process all company appointments electronically through the National Insurance Producer Registry (NIPR). The appointment renewal invoice will include all resident/nonresident appointment renewals. All […]

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NEW MEXICO ANNOUNCES RATES FOR 2027 SMALL GROUP HEALTH INSURANCE MARKET

Contact: Viara IanakievaEmail: Viara.Ianakieva@osi.nm.gov Santa Fe, NM – The New Mexico Office of Superintendent of Insurance (OSI) has approved 2027 health insurance premium rates for the small group health insurance market. As of March 2026, over 31,000 New Mexicans were enrolled in a small group plan. The average increase across small group plans is 19.8%. […]

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