SB1138 mandates Hawaii insurers to align their prior authorization procedures with Medicare's guidelines to reduce delays and administrative burdens.
SB1138 addresses the challenges posed by Hawaii's prior authorization processes, which have been reported to delay treatment and impose administrative burdens on healthcare providers. The bill requires insurers to align their procedures with Medicare's established guidelines, aiming to reduce delays, improve healthcare access, and ensure consistency across payers. Insurers must decide on urgent requests within 24 hours and non-urgent requests within three days, with failure to respond deemed as approval.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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