§ 56-7-3719 — Website notice requirements

(a) A health carrier or utilization review organization shall make all current prior authorization requirements readily accessible on its website to healthcare providers. (b) The website must indicate each service subject to prior authorization while satisfying the following requirements: (1) Putting the lettering and notification for each service in bold typeface; (2) Indicating when prior authorization became required for policies issued or delivered in this state, including the termination date or dates, if applicable; (3) Identifying the date when the Tennessee-specific requirement was listed on the health carrier's or its contracted review utilization review organization's website; (4) Providing the date, the prior authorization requirement was removed from the Tennessee-issued policy, if applicable; and (5) Providing access to a standardized electronic prior authorization request transaction process, if applicable.

Legislative History

Amended by 2023 Tenn. Acts, ch. 395, s 4, eff. 1/1/2025.