Revises health utilization review laws to ensure continuity of prior authorizations and prohibit retroactive denials.
Revises health utilization review laws to ensure continuity of prior authorizations for enrollees changing health plans and prohibit retroactive denials of prior authorizations. Requires immediate approval for at least three days for prescriptions written at discharge from inpatient care. Mandates electronic acceptance and response to prior authorization requests using the SCRIPT standard. Prohibits requiring enrollees to repeat step therapy protocols under certain conditions.
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