HB4569 updates West Virginia's prior authorization law, allowing electronic and fax submissions and setting response times.

HB4569 amends West Virginia's prior authorization law to permit health insurers to accept prior authorization forms via electronic portal or fax. The law mandates that insurers respond to requests within specific timeframes, depending on the urgency of the medical condition. Insurers must also provide detailed instructions and notifications for electronic submissions. The bill sets forth procedures for handling incomplete requests, medication substitutions, and appeals.

HB4569 updates West Virginia's prior authorization law, allowing electronic and fax submissions and setting response times.

HB4569 amends West Virginia's prior authorization law to permit health insurers to accept prior authorization forms via electronic portal or fax. The law mandates that insurers respond to requests within specific timeframes, depending on the urgency of the medical condition. Insurers must also provide detailed instructions and notifications for electronic submissions. The bill sets forth procedures for handling incomplete requests, medication substitutions, and appeals.