New York A02352 requires insurers and health plans to grant automatic preauthorization approvals to eligible health care professionals.

New York A02352 mandates that insurers and health plans grant automatic preauthorization approvals to eligible health care professionals who have a high approval rate for preauthorization requests. Specifically, a health care professional qualifies for automatic approval if they have received approval for at least 90% of their preauthorization requests in the most recent six-month evaluation period. This automatic approval remains in effect for 30 days after the health care professional is notified of a rescission or until an independent review affirms the rescission.

New York A02352 requires insurers and health plans to grant automatic preauthorization approvals to eligible health care professionals.

New York A02352 mandates that insurers and health plans grant automatic preauthorization approvals to eligible health care professionals who have a high approval rate for preauthorization requests. Specifically, a health care professional qualifies for automatic approval if they have received approval for at least 90% of their preauthorization requests in the most recent six-month evaluation period. This automatic approval remains in effect for 30 days after the health care professional is notified of a rescission or until an independent review affirms the rescission.