Prior Authorization: Redefining the term “health insurer” as “utilization review entity” and revising the definition; requiring utilization review entities to establish and offer a prior authorization process for accepting electronic prior authorization requests; specifying additional requirements and procedures for, and restrictions and limitations on, utilization review entities relating to prior authorization for covered health care benefits, etc.
Prior Authorization: Redefining the term “health insurer” as “utilization review entity” and revising the definition; requiring utilization review entities to establish and offer a prior authorization process for accepting electronic prior authorization requests; specifying additional requirements and procedures for, and restrictions and limitations on, utilization review entities relating to prior authorization for covered health care benefits, etc.
Medicaid Behavioral Health Provider Performance: Revises provider network requirements for behavioral health providers in Medicaid program; specifies network testing requirements; requires AHCA to establish certain performance measures; requires managed care plan contract amendments by specified date; requires agency to submit annual report to Legislature.
Medicaid Behavioral Health Provider Performance: Revises provider network requirements for behavioral health providers in Medicaid program; specifies network testing requirements; requires AHCA to establish certain performance measures; requires managed care plan contract amendments by specified date; requires agency to submit annual report to Legislature.
Telehealth Practice Standards: Revising the definition of the term “telehealth”, etc.
Telehealth Practice Standards: Revising the definition of the term “telehealth”, etc.
Health Care Expenses: Establishing a 3-year statute of limitations for an action to collect medical debt for services rendered by a health care provider or facility; providing additional personal property exemptions from legal process for medical debts resulting from services provided in certain licensed facilities; requiring a licensed facility to post on its website a consumer-friendly list of standard charges for a minimum number of shoppable health care services; requiring each health insurer to provide an insured with an advance explanation of benefits after receiving a patient estimate from a facility for scheduled services, [...]
Health Care Expenses: Establishing a 3-year statute of limitations for an action to collect medical debt for services rendered by a health care provider or facility; providing additional personal property exemptions from legal process for medical debts resulting from services provided in certain licensed facilities; requiring a licensed facility to post on its website a consumer-friendly list of standard charges for a minimum number of shoppable health care services; requiring each health insurer to provide an insured with an advance explanation of benefits after receiving a patient estimate from a facility for scheduled services, [...]
Insurance: Revising a minimum coursework qualification for licensure as a life agent; providing that certain restrictions against unfair discrimination or unlawful rebates do not include value-added products or services offered or provided by life or health insurers or by life or health agents if certain conditions are met; providing requirements for and restrictions on such insurers or agents offering or providing such products or services, etc.
Insurance: Revising a minimum coursework qualification for licensure as a life agent; providing that certain restrictions against unfair discrimination or unlawful rebates do not include value-added products or services offered or provided by life or health insurers or by life or health agents if certain conditions are met; providing requirements for and restrictions on such insurers or agents offering or providing such products or services, etc.
