CMS Proposes Rule to Accelerate Prior Authorization for Prescription Drugs in Medicaid and CHIP
β’ Centers for Medicare and Medicaid Services published a proposed rule on Friday requiring health insurance companies and states to resolve non-urgent prior authorization requests for prescription drugs within 24 hours. β’ The regulation mandates Medicaid and CHIP insurers, plus state administrators, to publicly disclose denial rates and respond faster to improve patient access. β’ This addresses delays in medication approvals, potentially benefiting millions enrolled in these programs amid ongoing affordability challenges.
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