Carriers

2024

Topic: Operational and technical guidance for the 2024 Plan Year for issuers seeking to offer qualified health plans (QHPs), including stand-alone dental plans (SADPs), through beWellnm.

Title: Letter to Issuers Final

Topic: BeWellnm Policy Brief

Title: Premium Payment Threshold, September 28, 2023 V1.0  

Topic: Policy Manual Plan Year 2024 (Draft)

Title: New Mexico Health Insurance Exchange Policy Manual Plan Year 2024

Topic: Policy Manual Plan Year 2024 (Final)

Title: New Mexico Health Insurance Exchange Policy Manual Plan Year 2024

2023

Topic: Policy Brief

Title: Special Enrollment Periods

2022

Topic: Policy Manual for Operations of the state-based marketplace

Title: Policy Manual PY2023_FINAL

Topic:  2023 Companion Guides

Title: 2023 NMHIX_834_Companion_Guide_V1_5

Title: 2023 NMHIX_820_Companion_Guide_V1_2

Title:  NMHIX Reconcilation Guide 

Title: Letter to Issuers 2023 Final 4.25.2022
Topic: Operational and technical guidance for the 2023 Plan Year for issuers seeking to offer qualified health plans (QHPs),  including stand-alone dental plans (SADPs), through beWellnm.

Title: NMHIX_820_Companion_Guide-090820

Title: NMHIX_834_Companion_Guide_08182020

2021

Title:    Frequently Asked Questions (FAQ) Final 12.2021
Topic:  NMHIX SBE Transition

Title:    Policy Manual Final for PY2022
Topic:    Policy Manual for operations of the state-based marketplace.
Considerations:

• • • Not all links are active, but will be before “Go-Live” on October 1.
    • The Customer Engagement Center, referenced throughout this document, is scheduled to open October 1.
    • The “Eligibility Verification Plan” referenced in this document is also attached. beWellnm Eligibility Verification Plan 2021 09.07

Topic:  As New Mexico is transitioning to an SBE for 2022 plan year, carriers will need a platform where they can check their plan, rate and benefit information before it is published and made available to consumers for shopping on the beWellnm exchange.  The Plan Management Portal will be used by the Carriers and Exchange administrators as a platform to review the SERFF plan data and provide approval to push the plan data to the production environment.

Outline:  The session provided an overview of:

•  Functioning of Plan Management Module (for Carriers)
  1. Carrier On-Boarding Process
  2. Plan Review & Approval Process
• Plan Data Consumption, Review & Approval Timeline
• Plan Management Module (for Carriers) User Interface

Title: Letter to Issuers
Topic: Operational and technical guidance for the 2022 Plan Year for issuers seeking to offer qualified health plans (QHPs), including stand-alone dental plans (SADPs), through the New Mexico Health Insurance Exchange.