Minnesota HF4801 modifies prior authorization requirements for health care services and updates managed care contracts under medical assistance.

Minnesota HF4801 amends the state's health care regulations by prohibiting utilization review organizations, health plan companies, and claims administrators from requiring prior authorization for services identified as conflicting, such as those provided simultaneously or in close proximity in time. The bill also modifies managed care contracts by requiring the inclusion of symmetrical, two-sided, and uniform risk corridors with a settle-up process within six months of the end of the plan year.

Minnesota HF4801 modifies prior authorization requirements for health care services and updates managed care contracts under medical assistance.

Minnesota HF4801 amends the state's health care regulations by prohibiting utilization review organizations, health plan companies, and claims administrators from requiring prior authorization for services identified as conflicting, such as those provided simultaneously or in close proximity in time. The bill also modifies managed care contracts by requiring the inclusion of symmetrical, two-sided, and uniform risk corridors with a settle-up process within six months of the end of the plan year.