Iowa HF2412 establishes criteria for health care providers to qualify for exemptions from prior authorization requirements for specific health care.

Iowa HF2412 sets guidelines for health care providers seeking exemptions from prior authorization requirements for certain health care services. A health carrier must grant an exemption if, in the most recent evaluation period, the carrier approved at least 95% of the provider's prior authorization requests for the specific service. The exemption remains in effect until rescinded by the carrier or until the provider fails to appeal a rescission decision. The carrier must notify the provider of the rescission at least 30 days in advance and provide documentation supporting the decision.

Iowa HF2412 establishes criteria for health care providers to qualify for exemptions from prior authorization requirements for specific health care.

Iowa HF2412 sets guidelines for health care providers seeking exemptions from prior authorization requirements for certain health care services. A health carrier must grant an exemption if, in the most recent evaluation period, the carrier approved at least 95% of the provider's prior authorization requests for the specific service. The exemption remains in effect until rescinded by the carrier or until the provider fails to appeal a rescission decision. The carrier must notify the provider of the rescission at least 30 days in advance and provide documentation supporting the decision.