Ohio HB220 regulates prior authorization for health care services, drugs, and devices.

Ohio HB220 amends the state's insurance laws to regulate prior authorization for health care services, drugs, and devices. The bill mandates electronic submission of prior authorization requests and responses, sets timeframes for processing, and establishes a streamlined appeal process. It prohibits retroactive denials of prior authorizations unless there is fraudulent or materially incorrect information. The bill also requires insurers to provide a twelve-month approval for certain drugs and allows for retrospective reviews under specific conditions.

Ohio HB220 regulates prior authorization for health care services, drugs, and devices.

Ohio HB220 amends the state's insurance laws to regulate prior authorization for health care services, drugs, and devices. The bill mandates electronic submission of prior authorization requests and responses, sets timeframes for processing, and establishes a streamlined appeal process. It prohibits retroactive denials of prior authorizations unless there is fraudulent or materially incorrect information. The bill also requires insurers to provide a twelve-month approval for certain drugs and allows for retrospective reviews under specific conditions.