New Mexico Administrative Code
Title 13 - INSURANCE
Chapter 10 - HEALTH INSURANCE
Part 18 - MINIMUM COVERAGE FOR TOBACCO CESSATION TREATMENT
Section 13.10.18.7 - DEFINITIONS
Universal Citation: 13 NM Admin Code 13.10.18.7
Current through Register Vol. 35, No. 18, September 24, 2024
A. The following terms have the meanings given in the cited article or section of the New Mexico Statutes Annotated 1978:
(1) Fraternal
Benefit Society, Section 59A-44-1 NMSA 1978;
(2) Health Insurance Alliance, Section
59A-56-3 NMSA 1978;
(3) Health
Maintenance Organization, Section 59A-46-2 NMSA 1978;
(4) Insurer, Section 59A-1-8 NMSA
1978;
(5) Insurance Code, Section
59A-1-1 NMSA 1978;
(6) Nonprofit
Health Care Plan, Chapter 59A, Article 47 NMSA 1978;
(7) New Mexico Medical Insurance Pool,
Chapter 59A, Article 54 NMSA 1978.
B. The following terms have the meanings given here.
(1)
Maternity
benefits means coverage for prenatal, intrapartum, perinatal or
postpartum care.
(2)
Pharmacotherapy means intervention with United States food and drug
administration approved first-line drugs available by prescription only to
assist cessation of tobacco use or smoking.
(3)
Tobacco means cigarettes
(including roll-your own or handmade cigarettes), bidis, kreteks, cigars
(including little cigars, cigarillos, regular cigars, premium cigars, cheroots,
chuttas, and dhumti), pipe, smokeless tobacco (including snuff, chewing tobacco
and bettle nut), and novel tobacco products, such as eclipse,
accord or other low-smoke cigarettes.
(4)
Cessation counseling means
a program, including individual, group, or proactive telephone quit line, that:
(a) is designed to build positive behavior
change practices and provides counseling at a minimum on establishment of
reasons for quitting tobacco use, understanding nicotine addiction, various
techniques for quitting tobacco use and remaining tobacco free, discussion of
stages of change, overcoming the problems of quitting, including withdrawal
symptoms, short-term goal setting, setting a quit date, relapse prevention
information and follow-up;
(b)
operates under a writtenprogram outline, that at a minimum includes an overview
of service, service objectives and key topics covered, general
teaching/learning strategies, clearly stated methods of assessing participant
success, description of audio or visual materials that will be used,
distribution plan for patient education materials and method for verifying
enrollee attendance;
(c) employs
counselors who have formal training and experience in tobacco cessation
programming and are active in relevant continuing education activities;
and
(d) uses a formal evaluation
process, including mechanisms for data collection and measuring participant
rate and impact of the program.
Disclaimer: These regulations may not be the most recent version. New Mexico may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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