UPDATE: The data submitted pursuant to the data call described in the bulletin will be deemed confidential pursuant to NMSA 1978, Sections 59A-2-12(B), 59A-18-13.2(G), 59A-23-30, 59A-46-69, and 59A-47-64. 

            The Mental Health Parity and Addiction Equity Act (MHPAEA), amended in November 2013, includes provisions that require group health plans and health insurance carriers to ensure Mental Health and Substance Use Disorder (MH/SUD) parity with Medical and Surgical (Med/Surg) services. This includes performing and documenting comparative analyses of network adequacy, pharmacy benefits, quantitative treatment limitations (QTLs) and nonquantitative treatment limitations (NQTLs). Group plans and health insurance carriers are further required to make these analyses available to applicable state authorities upon request.

            Pursuant to NMSA 1978, Section 59A-4-3, and to ensure that all New Mexicans have access to care and coverage compliant with state and federal parity requirements, the New Mexico Office of Superintendent of Insurance (OSI) directs every subject health plan to submit data and comparative analyses, using the attached data call tools.

            Group plans and health insurance carriers are required to report data and analyses regarding health care coverage for plan years beginning on or after January 1, 2023, and offered through December 31, 2023, i.e., Plan Year 2023.

For complete content please see PDF below.

MENTAL HEALTH AND SUBSTANCE USE DISORDER PARITY DATA CALL, CONFIDENTIALITY OF DATA SUBMISSIONS