Current through 2024, c. 127
Section 62M.18 - ANNUAL POSTING ON WEBSITE; PRIOR AUTHORIZATIONS(a) By April 1, 2022, and each April 1 thereafter, a health plan company must post on the health plan company's public website the following data for the immediately preceding calendar year for each commercial product: (1) the number of prior authorization requests for which an authorization was issued;(2) the number of prior authorization requests for which an adverse determination was issued and sorted by: (ii) whether the adverse determination was appealed; and(iii) whether the adverse determination was upheld or reversed on appeal;(3) the number of prior authorization requests that were submitted electronically and not by facsimile or email or other method pursuant to section 62J.497; and(4) the reasons for prior authorization denial including but not limited to:(i) patient did not meet prior authorization criteria;(ii) incomplete information submitted by the provider to the utilization review organization;(iii) change in treatment program; and(iv) the patient is no longer covered by the plan.(b) All information posted under this section must be written in easily understandable language.Added by 2020 Minn. Laws, ch. 114,s 1-20, eff. 1/1/2021.