Montana SB449 revises health utilization review laws to ensure continuity of approval for enrollees changing health plans and prohibits retroactive.
Montana SB449 revises health utilization review laws to ensure continuity of approval for enrollees changing health plans. It mandates that health insurance issuers honor prior authorizations granted before the effective date of a change in coverage or approval criteria for the remainder of the enrollee's plan year. The bill also prohibits retroactive denial of prior authorizations after a covered service has been provided, except in cases of fraud or misrepresentation.
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- Critical Issues
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