A. A carrier shall provide coverage for all in-network mental health or substance use disorder services, consistent with generally recognized standards of care, including placing an enrollee into a medically necessary level of care.B. Changes in level and duration of care shall be determined by the enrollee's provider in consultation with the carrier.C. Level of care determinations shall include placement of an enrollee into a facility that provides detoxification services, a hospital, an inpatient rehabilitation treatment facility or an outpatient treatment program.D. Level of care services for an enrollee with a mental health or substance use disorder shall be based on the mental health or substance use disorder needs of the enrollee rather than arbitrary time limits.History: Laws 2023, ch. 114, § 31. ANNOTATIONSEffective dates. — Laws 2023, ch. 114 contained no effective date provision, but, pursuant to N.M. Const., art. IV, § 23, was effective June 16, 2023, 90 days after adjournment of the legislature.Applicability. — Laws 2023, ch. 114, § 46 provided that the provisions of Laws 2023, ch. suant to N.M. Const., art. IV, § 23, was effective June 16, 2023, 90 days after adjournment of the legislature.Applicability. — Laws 2023, ch. 114, § 46 provided that the provisions of Laws 2023, ch. 114 are applicable to group health insurance policies, health care plans or certificates of health insurance, other than small group health plans, that are delivered, issued for delivery or renewed in this state on or after January 1, 2024.
New Mexico Legal Code