New Mexico Health Care Authority policy updates
Track new and updated New Mexico Health Care Authority policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| 2027 Plan Year Health Insurance Marketplace Affordability Program Policy and Procedures Manual | New Mexico Health Care Authority | Administrative | — | Modified | Jan 1, 2027 |
| Exemptions from Medicaid Work or Activity Requirements for Hospitalized or Institutionalized Individuals | New Mexico Health Care Authority | Administrative | — | Modified | Jan 1, 2027 |
| Standardized Health Plan Requirements for the 2027 Plan Year | New Mexico Health Care Authority | Administrative | — | Modified | Jan 1, 2027 |
| Standardized Health Plan Requirements for the 2027 Plan Year | New Mexico Health Care Authority | Administrative | — | Modified | Jan 1, 2027 |
| Unbundling Global Maternity Services | New Mexico Health Care Authority | Reimbursement | — | Modified | Jan 1, 2027 |
| 8.200.410 MEDICAID ELIGIBILITY — GENERAL RECIPIENT RULES | New Mexico Health Care Authority | Administrative | — | Modified | Oct 1, 2026 |
| Tribal Notification: Proposed NMAC 8.200.410 (Medicaid Eligibility - General Recipient Rules) | New Mexico Health Care Authority | Administrative | — | Modified | Oct 1, 2026 |
| SUMMARY OF MEDICAID POPULATIONS AFFECTED BY HR1 | New Mexico Health Care Authority | Administrative | — | Modified | Oct 1, 2026 |
| Proposed amendments to NMAC 8.200.410 — Medicaid Eligibility General Recipient Rule | New Mexico Health Care Authority | Administrative | — | Modified | Oct 1, 2026 |
| Ordering, Referring, and Prescribing Provider Enrollment | New Mexico Health Care Authority | Administrative | — | Modified | Oct 1, 2026 |
OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.
OpenPayer by Trek Health — Policy intelligence for billing and revenue cycle teams.
Coverage data is sourced from publicly available payer medical policy documents and updated as payers publish revisions. Read more about where our data comes from. Always consult the primary payer source for clinical decision-making.