Minnesota HF2482 modifies health care utilization review provisions and prior authorization clinical criteria.

Minnesota HF2482 modifies the applicability of prior authorization clinical criteria changes and utilization review provisions. It amends Minnesota Statutes to ensure that changes in coverage terms or clinical criteria for health care services do not apply until the next plan year or calendar year for fee-for-service providers. Exceptions include changes due to safety concerns or when a utilization review organization adds a lower-cost therapeutically equivalent drug to its formulary, provided there is a 60-day notice to prescribers, pharmacists, and affected enrollees.

Minnesota HF2482 modifies health care utilization review provisions and prior authorization clinical criteria.

Minnesota HF2482 modifies the applicability of prior authorization clinical criteria changes and utilization review provisions. It amends Minnesota Statutes to ensure that changes in coverage terms or clinical criteria for health care services do not apply until the next plan year or calendar year for fee-for-service providers. Exceptions include changes due to safety concerns or when a utilization review organization adds a lower-cost therapeutically equivalent drug to its formulary, provided there is a 60-day notice to prescribers, pharmacists, and affected enrollees.