Search Results

Ama Policy

Managed Care H-285.998

03/13/2019
State Medical Necessity Decisions-Deadlines, U.R. Criteria
ARC Advocacy Resources

2018 Prior Authorization State Law Chart

State Medical Necessity Decisions-Deadlines
Ama Policy

Approaches to Increase Payer Accountability H-320.968

03/05/2021
State Medical Necessity Decisions-Deadlines, U.R. Criteria
ARC Advocacy Resources

Prior Authorization Model Bill

Addresses the burden of prior authorizations on patients and physicians by increasing the transparency in prior authorization requirements, ensuring that payers respond to requests in a timely manner and preventing retroactive denials of authorizations.

Medical Necessity-Definition, Model Legislation, Retroactive Denial, State Medical Necessity Decisions-Deadlines, U.R. Criteria
Ama Policy

Private Health Insurance Formulary Transparency H-125.979

10/14/2019
ERISA-Med. Nec. Decisions-Deadlines, Med. Adv.-Med. Nec. Decisions-Deadlines, State Medical Necessity Decisions-Deadlines
Ama Policy

Promoting Accountability in Prior Authorization D-320.983

10/14/2019
ERISA-Med. Nec. Decisions-Deadlines, State Medical Necessity Decisions-Deadlines
Ama Policy

Third Party Payer Quantity Limits H-185.942

10/15/2019
ERISA-Med. Nec. Appeals-Deadlines, ERISA-Med. Nec. Decisions-Deadlines, State Medical Necessity Appeals-Deadlines, State Medical Necessity Decisions-Deadlines, Step Therapy Override, U.R. Criteria
State Law

Alabama State Board of Health Department of Public Health-Chapter 420-5-6. Health Maintenance Organizations

06/11/2020 Alabama Section 420-5-6-.06

Assurance Of Access To And Continuity Of Care

Network Adequacy, Prompt Payment Deadlines, State Medical Necessity Decisions-Deadlines
State Law

Code of Alabama 1975-Title 27-Chapter 3A. Health Care Service Utilization Review Act

06/11/2020 Alabama Section 27-3A-5

Standards for utilization review agents

State Medical Necessity Appeals-Deadlines, State Medical Necessity Decisions-Deadlines
State Law

Alaska Admin. Code-Title 3-Chapter 28-Article 10. Utilization Review and Benefit Determinations

06/11/2020 Alaska Section 28.912

Procedures for expedited utilization review and benefit determinations

State Medical Necessity Decisions-Deadlines