• 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.

Read All OSI News

ORDER ESTABLISHING PARAMETERS FOR DEFRAYAL UNDER 13.10.41 NMAC, COVERAGE FOR SPECIFICED SEX TRAIT MODIFICATION PROCEDURE

Pursuant to NMSA, Section 59A-2-8 General powers and duties of superintendent, this order provides an initial interpretation of what specified sex trait modification procedures and prescriptions are eligible for defrayal starting Plan Year 2027 for health plans sold on the New Mexico BeWell Exchange. Office of Superintendent of Insurance (OSI) staff may revisit this interpretation […]

Read More

MEDICAL MALPRACTICE PREMIUM REDUCTION

BULLETIN 2026-010: The New Mexico State Legislature appropriated $5 million to the New Mexico Office of Superintendent of Insurance (OSI) to address medical malpractice insurance costs for individual providers. The appropriation was part of a supplemental appropriation package passed in 2025. This one-time appropriation directs OSI to provide a premium subsidy for private medical malpractice insurance policies. […]

Read More