2003 Session

Budget Amendments - HB1400 (Member Request)

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

Item 325 #23h

Item 325 #23h

Health And Human Resources
Medical Assistance Services, Department of

Page 327, after line 3, insert:
"UUU.  The Department of Medical Assistance Services shall monitor the impact of all new prior authorization requirements for Medicaid 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 Senate Finance and House Appropriations 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 Medicaid prior authorization requirements.)