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Section 13-7-21 - Physical rehabilitation services; limits on cost sharing. (Effective January 1, 2020.)

NM Stat § 13-7-21 (2019) (N/A)
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A. Group health coverage, including any form of self-insurance, offered, issued or renewed under the Health Care Purchasing Act that offers coverage of physical rehabilitation services shall not impose a member cost share for physical rehabilitation services that is greater than that for primary care services on a coinsurance percentage basis when coinsurance is applied or on an absolute dollar amount when a copay is applied.

B. As used in this section:

(1) "physical rehabilitation services" means services aimed at maximizing an individual's level of function, returning to a prior level of function or maintaining or slowing the decline of function, which services are provided by or under the direction of a licensed physical therapist, occupational therapist or speech therapist; and

(2) "primary care services" means the first level of basic or general health care for a person's health needs, including diagnostic and treatment services, initiation of referrals for other health care services and maintenance of the continuity of care when appropriate.

History: Laws 2019, ch. 188, § 1.

Effective dates. — Laws 2019, ch. 188, § 6 made Laws 2019, ch. 188, § 1 effective January 1, 2020.

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