New Mexico prior authorization laws (2026)

General reference compiled from public statutes and the AMA state-law chart. This is not legal advice. Statutes change; confirm the current law before relying on it.

Decision deadlines

Prior authorization (State-regulated health plans)
Standard decision: 7 days. Expedited: 24 hours.
NM Stat § 59A-22-52 · source

Frequently asked questions

How long does an insurer have to decide a prior authorization in New Mexico?

Under NM Stat § 59A-22-52, a standard prior authorization decision is generally due within 7 days, and an expedited decision within 24 hours. Confirm the current statute, as timeframes vary by plan type.

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