• Date Due: November 01, 2025
  • Author: State Corporation Commission
  • Enabling Authority: Chapter 475 Enactment Clause 2. (Regular Session, 2023)
  • Description:
    Annual report on the findings and recommendations of the work group convened to monitor anticipated federal developments related to the implementation of electronic prior authorization for medical items and services, (ii) assess industry progress and readiness to implement electronic prior authorization for medical items and services, and (iii) evaluate policies supporting the effective and efficient adoption of electronic prior authorization for medical items and services. This report shall also include a final assessment of progress toward implementing electronic prior authorization and real-time cost benefit information for prescription drugs in the Commonwealth and shall recommend a date by which health carriers and providers shall implement electronic prior authorization for medical items and services. This report shall also include the final assessment of progress toward implementing electronic prior authorization and real-time cost benefit information for prescription drugs in the Commonwealth and shall recommend a date by which health carriers and providers shall implement electronic prior authorization for medical items and services. [Reporting requirements of Chapter 474, Enactment Clause 2., 2023 Acts of Assembly, are identical.]