New York A09407 eliminates the requirement for prior authorization for certain cancer treatments based on National Comprehensive Cancer Network.

New York A09407 amends the insurance law, public health law, and social services law to remove the need for prior authorization for cancer treatments categorized as one or two-A by the National Comprehensive Cancer Network's Categories of Evidence and Consensus. However, health care providers must still certify that the treatment meets these guidelines. Insurers, health care plans, and managed care providers retain the right to deny claims if the services are later deemed not medically necessary.

New York A09407 eliminates the requirement for prior authorization for certain cancer treatments based on National Comprehensive Cancer Network.

New York A09407 amends the insurance law, public health law, and social services law to remove the need for prior authorization for cancer treatments categorized as one or two-A by the National Comprehensive Cancer Network's Categories of Evidence and Consensus. However, health care providers must still certify that the treatment meets these guidelines. Insurers, health care plans, and managed care providers retain the right to deny claims if the services are later deemed not medically necessary.