Regulatory Compliance
New Mexico
CorVel has provided workers’ compensation management services to New Mexico employers for more than 30 years. Our approach is that all injured workers need quality healthcare and compassionate guidance from someone who is familiar with their case. CorVel provides personalized attention, along with the expertise needed to help speed return to work, while ensuring patients understand and follow treatment plans and get their questions answered quickly. All so that recovery can continue and life can get back on track.
Our comprehensive return to work program ensures collaboration and communication with all interested parties including the injured worker, employer, human resources, medical and safety teams, and healthcare providers. We use technology, compassionate case management for employees and cost containment measures, to give New Mexico employers a superior program.
New Mexico Workers’ Compensation Administration updates 01/01/2024
Description: New Mexico’s Workers Compensation Administration finalized several changes to the administrative claim processes.
- Payment of Claims and Post-Accident Testing:
- Timely payment of benefits is no longer based on the filing of a FROI but on statutory law.
- A written basis for denial is due within 30 days of worker’s request.
- Judges have discretion to enter an order that requires employers to reimburse mileage benefits in advance.
- Claims Resolution:
- Judges have discretion to require translation of discovery into the native language of the responding party to ensure fairness and substantial justice.
- Proof of Coverage:
- The WCA will only accept proof of coverage electronically through the WCA’s approved electronic data interchange vendor
Link: WCA Rules and Statutes | New Mexico WCA
New Mexico Regulatory Updates 03/03/2023
HB 329 – Workers’ Comp Violations Penalties
Issues: Workers’ Compensation (General)
Summary:
This measure increases the maximum penalty for failing to file required information required by the Workers’ Compensation Act from $1,000 to $2,500. It does not list an effective date.
Most Recent Update:
02/07/2023 – This measure is scheduled to be heard on February 21 in the House Labor, Veterans’ And Military Affairs Committee, chaired by Representative Eliseo Lee Alcon (D). The New Mexico legislature is meeting in-person for the 2023 legislative session, but hearings may be held virtually at the discretion of the Chair. Anyone wishing to testify may do so in-person or through the zoom link on the hearing agenda. A vote may occur at the discretion of the Chair. The measure may be referred to multiple committees. Hearings in New Mexico are scheduled with little notice and change frequently.
HB 330 – Farm & Ranch Laborer Workers’ Comp
Issues: Workers’ Compensation (Medical Coverage And Reimbursement), Workers’ Compensation (General)
Summary:
This measure removes the exclusion on farm and ranch laborers from the Workers’ Compensation Act. It does not list an effective date.
Most Recent Update:
02/01/2023 – This measure has been referred to the House Committee on Agriculture, Acequias And Water Resources, chaired by Representative Susan K. Herrera (D), and the House Committee on Labor, Veterans, and Military Affairs, chaired by Representative Eliseo Lee Alcon (D). The sponsor does not serve on either committee of referral. This measure is eligible for consideration in the House Committee on Agriculture, Acequias And Water Resources. A timeline may be established by the Chair.
HB 455 – Workers’ Compensation Changes
Issues: Workers’ Compensation (Medical Coverage And Reimbursement), Workers’ Compensation (General)
Summary:
This measure increases employer coverage of discovery costs from $3,000 to $10,000. It also increases the limit on attorney’s fees from $22,500 to $32,500. It also alters when a judge may award more than these amounts, and increases penalties for violating certain workers’ compensation provisions to $3,000. It does not list an effective date.
Most Recent Update:
02/16/2023 – This measure has been referred to the House Labor, Veterans’ and Military Affairs Committee; House Judiciary Committee, chaired by Rep. Eliseo Lee Alcon (D); Rep. Christine Chandler (D). The sponsor does not sit on the committee(s) of referral. This measure is eligible for consideration in the House Labor, Veterans’ and Military Affairs Committee; House Judiciary Committee. A timeline may be established by the Chair.
New Mexico Services
- Workers’ compensation claims administration
- Medical bill review in compliance with state requirements
- Local PPO development and management
- Case management services
New Mexico Resources
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