Montana § 33-32-223 Required Method Of Accepting Prior Authorization Requests

Montana Statutes

§ 33-32-223 — Required Method Of Accepting Prior Authorization Requests

Montana·Title 33 INSURANCE AND INSURANCE COMPANIES·Ch. 32 HEALTH UTILIZATION REVIEW·Part 2 Utilization Review -- Conduct

33-32-223 . Required method of accepting prior authorization requests.

(1)A health insurance issuer or utilization review organization shall accept and respond electronically to prior authorization requests from a health care provider submitted through a secure electronic transmission as determined by the health insurance issuer or utilization review organization.

(2)If a prior authorization for a prescription drug is submitted electronically using the national council for prescription drug program's standard for electronic prior authorization transactions, then the health insurance issuer or utilization review organization shall accept and respond to the prior authorization request using the same standard for electronic prior authorization transactions.

(3)This section does not require

Free access — add to your briefcase to read the full text and ask questions with AI

33-32-223 . Required method of accepting prior authorization requests. (1) A health insurance issuer or utilization review organization shall accept and respond electronically to prior authorization requests from a health care provider submitted through a secure electronic transmission as determined by the health insurance issuer or utilization review organization.
(2) If a prior authorization for a prescription drug is submitted electronically using the national council for prescription drug program's standard for electronic prior authorization transactions, then the health insurance issuer or utilization review organization shall accept and respond to the prior authorization request using the same standard for electronic prior authorization transactions.
(3) This section does not require a health care professional to submit prior authorization requests electronically.

Montana § 33-32-223 (Required Method Of Accepting Prior Authorization Requests) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.