Carriers

BeWellnm is your State-Based Exchange

Here’s a list of meeting related materials.

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.

 

 

 

July 27, 2021  Provider Directories Bulletin 2021-013

Date: August 11, 2022

Topic: Plan Management Portal Kick-Off-2023

Topic: Plan Management Module_Carrier Onboarding Process_2023

Topic:  Carrier Kick-Off Meeting Recording  2023

 

Date:  August 5, 2021
Topic: Carrier Discussion
Presentation 8.5.21

Date: July 18, 2022
Topic: 2023 Renewals  Overview and FAQ Presentation

 

Date: July 15, 2021
Topic: Plan Management Module
Presentation

Date: May 26, 2021
Topic: Carrier Integration                                                                                                                                                                                                                             NMHIX Enrollment Reconciliation Meeting Presentation
NMHIX Reconciliation Guide

Date: December 15, 2020
Topic: Carrier Integration Testing (EDI Integration with NFP Health)
Presentation

Date: November 17, 2020 (rescheduled from 10/20)
Topic: Plan Management, Carrier Onboarding and Testing
Presentation
Question & Answers

Date: October 6, 2020
Topic: Data Migration and Renewals
Presentation
Questions & Answers

Date: September 30, 2020
Topic: NMHIX-Carrier Reconciliation
Presentation

Date: September 2, 2020
Topic: EDI 820 Companion Guide Review
Presentation
820 Companion Guide

Date: August 18, 2020
Topic: EDI 834 Companion Guide Review
Presentation
834 Companion Guide

 

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