HB1675

Missouri HB1675 establishes rules for prior authorization of health care services, limiting requirements based on approval rates.

Missouri HB1675 introduces provisions for prior authorization of health care services. It mandates that health carriers and utilization review entities cannot require prior authorization unless they approved less than 90% of requests in the most recent evaluation period. The bill requires entities to notify providers within 25 days of a determination, including relevant statistics and data. It also establishes an appeal process and an online portal for providers to access prior authorization decisions.