NADP provided comments this month urging the New Mexico Office of Superintendent of Insurance (OSI) to clarify an exemption for dental benefits in a proposed rule on uniform credentialing.

The proposed rule implements SB 220
(enacted 2015) on Provider Payment and Provider Credentialing and among
other standards, would require carriers to use only one of two forms
for provider credentialing: the hospital services corporation (HSC) or
council for affordable quality healthcare (CAQH) forms.

Although we
think the rule could be read to exclude dental, it could be open to
interpretation, and based on conversations carriers have had, different
OSI staffers have different interpretations about applicability to

Comments were submitted prior to a July 15 OSI hearing on the subject. Updates will be posted in the Advocacy Open Forum in Dental Interact.

We greatly
appreciate the Government Relations Workgroup (GRW) for reviewing the
comments and specifically, Delta Dental of New Mexico’s involvement and
DenteMax and Principal’s assistance and feedback.  

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