Hawaii HB954 regulates the prior authorization process for health care services, aiming to increase transparency, efficiency, and patient care.
Hawaii HB954 establishes a comprehensive regulatory framework for the prior authorization process in the state. It mandates that utilization review entities, which are responsible for approving or denying health care services before they are provided, adhere to specific guidelines. The bill prohibits prior authorization for pre-hospital transportation and emergency health care services, ensuring immediate care without delays. It also exempts certain health care providers from prior authorization if they meet specific approval rate criteria.
Included in complete analysis
- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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