Arizona HB2250 modifies health insurance regulations, exempting certain rehabilitative services from prior authorization requirements and setting.

Arizona HB2250 amends health insurance regulations by exempting rehabilitative services, including physical and occupational therapy, from prior authorization requirements for the first twelve visits of a new episode of care. It mandates that health care insurers and utilization review agents must respond to prior authorization requests within specific timeframes, with urgent requests needing a response within five business days. The bill also requires insurers to provide clear explanations and appeal instructions for adverse determinations.

Arizona HB2250 modifies health insurance regulations, exempting certain rehabilitative services from prior authorization requirements and setting.

Arizona HB2250 amends health insurance regulations by exempting rehabilitative services, including physical and occupational therapy, from prior authorization requirements for the first twelve visits of a new episode of care. It mandates that health care insurers and utilization review agents must respond to prior authorization requests within specific timeframes, with urgent requests needing a response within five business days. The bill also requires insurers to provide clear explanations and appeal instructions for adverse determinations.