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AZ HB2426
Bill
Status
2/7/2023
Primary Sponsor
Matt Gress
Click for details
AI Summary
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Amends Arizona Revised Statutes section 20-3404 to establish timelines for health care services plan responses to prior authorization requests.
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Requires plans to notify providers of prior authorization approval or denial within 5 days for urgent health care services and 14 days for non-urgent services after receiving all necessary information.
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Requires plans to provide written receipt acknowledgment in the same format as the request was submitted, unless return contact information is not provided.
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Deems a prior authorization request automatically granted if the plan fails to meet the response deadlines and notification requirements.
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Prohibits plans from rescinding or modifying a granted prior authorization after services are rendered in good faith, except in cases of provider fraud or misrepresentation.
Legislative Description
Technical correction; prior authorization; timelines
Technical Correction
Last Action
House read second time
2/8/2023