AZ SB1512

New health care insurers must honor prior authorizations approved by previous insurers for the first 90 days of coverage, unless the service is categorically excluded, with the member or provider required to notify the new insurer.

Health care insurers, pharmacy benefit managers, and utilization review agents must post all prior authorization requirements and clinical criteria in lay person language on publicly accessible websites and provide 60 days' notice before implementing new or amended requirements.

Prior authorizations for chronic or long-term care conditions remain valid for at least one year regardless of prescription dosage changes, and members cannot be required to obtain another prior authorization for the same service.

All prior authorizations are valid for at least six months from the date received or the length of treatment and remain in effect despite any changes in prescription dosage.

Prior authorizations remain honored for 90 days when a member changes products or plans under the same health care insurance company, and coverage or approval criteria changes do not affect members with prior approvals until the end of their plan year.