2003 Session

Budget Amendments - HB1400 (Member Request)

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Chief Patron: Morgan
FAMIS Prior Authorization Reporting Requirements (language only)

Item 324 #3h

Item 324 #3h

Health And Human Resources
Medical Assistance Services, Department of

Page 310, after line 50, insert:
"N.  The Department of Medical Assistance Services shall monitor the impact of all new prior authorization requirements for the Family Access to Medical Insurance Security (FAMIS) services that take effect on or after July 1, 2003.  The Department shall maintain data including the number of service denials, the number of prior authorization requests submitted, the number of requests approved and denied, the number of appeals from prior authorization denials, the outcome of those appeals, and all associated administrative costs.  Such information shall be reported to the Governor and the Chairmen of the House Appropriations and Senate Finance Committees on a quarterly basis beginning January 1, 2004."

(This amendment requires DMAS to maintain and report data necessary to evaluate implementation of the new FAMIS prior authorization requirements.)