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OH SB330
Bill
Status
4/15/2014
Primary Sponsor
Capri Cafaro
Click for details
AI Summary
SB 330 Summary
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Establishes minimum enrollment requirements of 300 employees or self-employed individuals for multiple employer welfare arrangements operating group self-insurance programs.
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Requires health insuring corporations, sickness and accident insurers, and public employee benefit plans with prior authorization requirements to use a standardized form adopted by the superintendent of insurance.
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Mandates that insurers and health plans respond to, deny, or authorize prior authorization requests within 48 hours of receiving the completed form.
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Requires the Department of Medicaid to establish a standardized form for medical assistance recipients to request prior authorization for covered services, modeled on the insurance superintendent's standardized form.
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Establishes a 48-hour response deadline for the Department of Medicaid or its designee to approve or deny prior authorization requests submitted on the standardized form.
Legislative Description
To amend the law related to the prior authorization requirements of insurers and of the medical assistance programs administered by the Department of Medicaid.
Medicaid-prior authorization & medical assistance programs law
Last Action
To Insurance & Financial Institutions
4/15/2014