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Ama Policy

Managed Care H-285.998

01/03/2022
State Medical Necessity Decisions-Deadlines, U.R. Criteria
Ama Policy

Approaches to Increase Payer Accountability H-320.968

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

2018 Prior Authorization State Law Chart

State Medical Necessity Decisions-Deadlines
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

12/30/2021
ERISA-Med. Nec. Decisions-Deadlines, Med. Adv.-Med. Nec. Decisions-Deadlines, State Medical Necessity Decisions-Deadlines
Ama Policy

Third Party Payer Quantity Limits H-185.942

08/29/2023
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
Ama Policy

Strengthening the Accountability of Health Care Reviewers D-185.977

08/30/2022
State Medical Necessity Decisions-Deadlines
Ama Policy

Promoting Accountability in Prior Authorization D-285.960

12/30/2021
State Medical Necessity Decisions-Deadlines, U.R. Criteria
State Law

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

07/27/2023 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

07/27/2023 Alabama Section 27-3A-5

Standards for utilization review agents

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