N.M. Admin. Code § 13.10.18.8

Current through Register Vol. 35, No. 23, December 10, 2024

Section 13.10.18.8 - REQUIRED MINIMUM COVERAGE FOR TOBACCO CESSATION TREATMENT

A. All policies, plans, contracts and certificates that offer maternity benefits shall include at least the following tobacco cessation treatment benefits, which may be subject to deductibles and coinsurance consistent with those imposed on other benefits under the same policy, plan, contract or certificate.

(1) Diagnostic services: Diagnostic services necessary to identify tobacco use, use-related conditions and dependence.

(2) Pharmacotherapy: Two 90-day courses of pharmacotherapy per calendar year.

(3) Cessation counseling: A choice of cessation counseling of up to 90 minutes total provider contact time or two multi-session group programs per calendar year.

B. Initiation of any course of pharmacotherapy or cessation counseling shall constitute an entire course of pharamacotherapy or cessation counseling even if an individual discontinues or fails to complete the course.

N.M. Admin. Code § 13.10.18.8

13.10.18.8 NMAC - N, 3/1/04