2003 Session

Budget Amendments - SB700 (Committee Approved)

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Prior Authorization Reporting Requirements (language only)

Item 322 #2s

Item 322 #2s

Health And Human Resources
Medical Assistance Services, Department of

Page 307, after line 28, insert:
"J.  The Department of Medical Assistance Services shall monitor the impact of all new prior authorization requirements implemented for the Medicaid and Family Access to Medical Insurance Security (FAMIS) fee for service programs 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 an annual basis beginning June 30, 2004."

(This amendment requires the Department of Medical Assistance Services to maintain and report data necessary to evaluate implementation of the new prior authorization requirements created on July 1, 2003.)