Ohio HB214 mandates Medicaid and health insurers to report prior authorization data and requires certain exemptions.

Ohio HB214 amends the state's insurance laws to require health insurers and Medicaid to report data about prior authorization requirements. It mandates that insurers provide exemptions to prior authorization for certain providers and services. The bill also sets timelines for responding to prior authorization requests and outlines conditions for exemptions. It includes provisions for electronic submission of prior authorization requests and establishes a streamlined appeal process for adverse determinations. The bill repeals existing sections related to prior authorization requirements.

Ohio HB214 mandates Medicaid and health insurers to report prior authorization data and requires certain exemptions.

Ohio HB214 amends the state's insurance laws to require health insurers and Medicaid to report data about prior authorization requirements. It mandates that insurers provide exemptions to prior authorization for certain providers and services. The bill also sets timelines for responding to prior authorization requests and outlines conditions for exemptions. It includes provisions for electronic submission of prior authorization requests and establishes a streamlined appeal process for adverse determinations. The bill repeals existing sections related to prior authorization requirements.