Many of the bills aim to establish quick response times, allow for adverse determinations only by a physician licensed in the state, prohibit retroactive denials, make authorization valid for at least one year and require a new health plan to honor prior authorization for at least 90 days, among other requirements.
The proposed bills come after CMS released a final rule in April that updates Medicare Advantage prior-authorization program requirements.
Click here to learn more.
At the Becker's 23rd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference, taking place June 18–20 in Chicago, spine surgeons, orthopedic leaders and ASC executives will come together to explore minimally invasive techniques, ASC growth strategies and innovations shaping the future of outpatient spine care. Apply for complimentary registration now.
