Illinois HB2398 mandates quarterly reporting on compliance with prohibitions on prior authorization and utilization management controls for.
Illinois HB2398 amends the Medical Assistance Article of the Illinois Public Aid Code to prohibit prior authorization mandates and utilization management controls for FDA-approved prescription drugs treating mental illness under the fee-for-service and managed care medical assistance programs. The bill specifies that these prohibitions apply if a preferred or non-preferred drug is prescribed to an adult patient to treat serious mental illness and certain conditions are met, such as the patient changing providers or insurance coverage while being stable on the drug.
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