Montana HB398 revises insurance laws to ensure only qualified physicians make adverse determinations and reviews grievances, and extends the validity.
Montana HB398 amends insurance laws to mandate that only physicians with a current, nonrestricted license and relevant specialty expertise can make adverse determinations or review grievances. The bill also extends the validity of prior authorizations for chronic conditions from 6 months to 12 months, ensuring continued coverage without the need for recertification. These changes aim to improve the quality and appropriateness of health care services provided to patients with chronic conditions.
Included in complete analysis
- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
See what it does, who it affects, and the critical issues in plain language. Free, 30 seconds.