N.M. Admin. Code § 13.10.30.18

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

Section 13.10.30.18 - COMPLIANCE REPORTING BY PBM

PBMs shall submit the following information to determine compliance with New Mexico law according to the schedule provided by the superintendent:

A.Grievance and MAC appeal data. The PBM shall file a log of grievance and MAC appeal data using a form specified by the superintendent.

B.Pharmacy and therapeutics ("P&T") committee data. The PBM shall submit the following information for any P&T Committee:

(1) names of committee members and conflict disclosure statements;

(2) dates and meeting minutes of the P&T committee from the prior plan year; and

(3) statement of the P&T committee's duties responsibilities, and goals.

C.Confidentiality of P&T committee data. P&T committee minutes provided to the superintendent shall be deemed confidential.

N.M. Admin. Code § 13.10.30.18

Adopted by New Mexico Register, Volume XXXII, Issue 02, January 26, 2021, eff. 3/1/2021, Adopted by New Mexico Register, Volume XXXIII, Issue 04, February 22, 2022, eff. 3/1/2022