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AZ HB2426

Bill

Status

Introduced

2/7/2023

Primary Sponsor

Matt Gress

Click for details

Origin

House of Representatives

Fifty-sixth Legislature - First Regular Session (2023)

AI Summary

  • Amends Arizona Revised Statutes section 20-3404 to establish timelines for health care services plan responses to prior authorization requests.

  • 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.

  • Requires plans to provide written receipt acknowledgment in the same format as the request was submitted, unless return contact information is not provided.

  • Deems a prior authorization request automatically granted if the plan fails to meet the response deadlines and notification requirements.

  • 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

Committee Referrals

Regulatory Affairs2/7/2023

Full Bill Text

No bill text available