Kentucky HB176 modifies prior authorization requirements for health care services, including exemptions for certain providers and prescription drugs.

Kentucky HB176 mandates that insurers offer programs exempting participating providers from prior authorization requirements for covered health care services. These programs must evaluate providers annually based on their prior authorization experience. The bill also prohibits insurers from requiring prior authorization for certain prescription drugs used in the treatment of alcohol or opioid use disorders. Additionally, it requires insurers to report annually on prior authorization metrics and the number of providers participating in exemption programs.

Kentucky HB176 modifies prior authorization requirements for health care services, including exemptions for certain providers and prescription drugs.

Kentucky HB176 mandates that insurers offer programs exempting participating providers from prior authorization requirements for covered health care services. These programs must evaluate providers annually based on their prior authorization experience. The bill also prohibits insurers from requiring prior authorization for certain prescription drugs used in the treatment of alcohol or opioid use disorders. Additionally, it requires insurers to report annually on prior authorization metrics and the number of providers participating in exemption programs.