State Law
10/04/2021
New Mexico
Sections 13.10.31.2, 13.10.31.7 through 13.10.31.14
Scope; Definitions; General Requirements; Prior Authorization Submission; Documentation and Transparency; Auto-Adjudication; Reserved; Penalties; Severability
Amendments, Retroactive Denial
State Law
08/03/2023
Illinois
Sections 1 through 85
See the text for the various section titles.
Amendments, Medical Necessity-Definition, Retroactive Denial, U.R. Criteria
State Law
08/20/2023
Oregon
Section 836-053-1203
Prior Authorization Trade Practices for Health Insurance other than Health Benefit plans
Retroactive Denial
State Law
08/07/2023
Maine
Sections 1-10
Purpose; Authority; Applicability and Scope; Affordable Care Act; Definitions; Quality Assurance Standards; Access to Services; Adverse Health Care Treatment Decisions; Grievance Register and Grievance Procedures; Reporting Requirements; Effective Date
Credentialing-Deadlines, Credentialing-Due Process-Denial of Contract, Network Adequacy, Retroactive Denial, State Medical Necessity Appeals-Deadlines, State Medical Necessity Decisions-Deadlines, U.R. Criteria
State Law
08/08/2023
Minnesota
Section 62M.07
Prior authorization of services
Retroactive Denial
State Law
08/22/2023
Rhode Island
Part 14. Benefit Determination and Utilization Review
Benefit Determination and Utilization Review
Retroactive Denial, State Medical Necessity Appeals-Deadlines, State Medical Necessity Decisions-Deadlines, U.R. Criteria
State Law
08/09/2023
Missouri
20 CSR 100-1.050
Standards for Prompt, Fair, and Equitable Settlement of Claims
Retroactive Denial
State Law
08/24/2023
Texas
Section 19.1718
Preauthorization for Health Maintenance Organizations and Preferred Provider Benefit
Plans
Amendments, Retroactive Denial, State Medical Necessity Decisions-Deadlines
State Law
08/25/2023
Utah
Section 31A-22-650
Health care preauthorization requirements
ERISA-Med. Nec. Decisions-Deadlines, Retroactive Denial, State Medical Necessity Decisions-Deadlines
State Law
08/07/2023
Maine
Section 4304
Utilization review
Medication Assisted Treatment-Prior Auth., Retroactive Denial, State Medical Necessity Decisions-Deadlines
