Iowa HSB19 mandates response times for prior authorization requests and requires a pilot program exempting some providers from certain authorization.

Iowa HSB19 sets specific response times for prior authorization requests by utilization review organizations. For urgent requests, responses must be given within 48 hours, while nonurgent requests must be addressed within ten days. If there are complex circumstances or high request volumes, responses must be provided within 15 days. The bill also mandates a pilot program exempting a subset of providers, including primary care providers, from certain prior authorization requirements. Health carriers must detail these exemptions on their websites and notify eligible providers.

Iowa HSB19 mandates response times for prior authorization requests and requires a pilot program exempting some providers from certain authorization.

Iowa HSB19 sets specific response times for prior authorization requests by utilization review organizations. For urgent requests, responses must be given within 48 hours, while nonurgent requests must be addressed within ten days. If there are complex circumstances or high request volumes, responses must be provided within 15 days. The bill also mandates a pilot program exempting a subset of providers, including primary care providers, from certain prior authorization requirements. Health carriers must detail these exemptions on their websites and notify eligible providers.