Democrats and Republicans in the General Assembly would like to ban prior authorization for psychotropic drugs helping people with serious mental illnesses who are on Medicaid.

Medicaid Managed Care Organizations (MCOs) denied one out of eight prior authorization requests in 2019, according to a new report from the Office of Inspector General (OIG).

The Centers for Medicare and Medicaid Services (CMS) will implement prior authorization requirements for certain traditional ...

CMS is proposing Medicare Advantage, ACA and Medicaid managed care plans adopt electronic prior authorization systems by 2026.

Officials want a change to Medicaid managed care rules that would allow emergency department physicians to authorize 72-hour inpatient stays.

Medicaid managed care organizations (MCOs) denied one out of every eight prior authorization requests in 2019 and lack oversight of denials in most states, according to a report by OIG.

Illinois bans step therapy, health plan prior authorization for emergency mental health care The law aims to address healthcare affordability and access issues, but it could result in higher drug ...

Health insurance companies and states will have to resolve prior authorization requests more quickly under a final rule the Centers for Medicare and Medicaid Services published Wednesday. Insurers ...

What to expect in terms of legislation At least one bill in the upcoming session will be familiar to the legislature: a bill seeking to restrict the use of prior authorization.

A revenue report determined that incoming monies would be sluggish over the next two years, with few new dollars expected to hit Indiana’s coffers.

Lobbying groups representing different camps of the healthcare industry have come together to urge the Centers for Medicare & Medicaid Service (CMS) to reconsider “conflicting regulatory propos ...

Indiana's revenue report indicates that incoming monies will be sluggish over the next two years, with Medicaid costs growing faster than the state's revenues, and Republican leaders have ...