MA H1255

Reduces the required response time for prior authorization requests from 2 business days to 24 hours by amending Chapter 176O, Section 25(b) of the General Laws

Prohibits payers and their contracted entities from using appeals processes or other administrative means to delay responding to completed prior authorization requests

Requires the division to conduct audits to ensure payer compliance with the prior authorization response requirements

Amends existing health insurance utilization review regulations under Massachusetts General Laws Chapter 176O