AZ HB2250

Requires health insurers to honor prior authorizations from a previous insurer for at least 90 days when an enrollee changes health plans, provided the service is covered and documentation is submitted.

Prohibits insurers from requiring prior authorization for physical therapy or occupational therapy for the first 12 visits of each new episode of care.

Exempts providers from prior authorization requirements for 12 months if at least 90% of their prior authorization requests for a specific service were approved in the previous 12-month period (minimum 5 requests required).

Reduces prior authorization response timelines from 5 days to 3 calendar days for urgent services and from 14 days to 5 calendar days for non-urgent services.

Requires adverse determinations to be made by licensed physicians with sufficient medical knowledge in the applicable specialty and knowledge of coverage criteria and the enrollee's medical history.