Building on a TMA-supported win from last legislative session, the Texas Department of Insurance (TDI) adopted a rule last month that creates a standard prior authorization form for prescription drug benefits. Prescribing physicians and other practitioners can use the form to request prior authorization from health benefit plan issuers. The new form is available on TDI's website.
Earlier this year, TDI set the standard form for medical care preauthorization. Both the standard forms cover everything but Medicare, the state Workers' Compensation program, and self-funded employer plans. They do away with hundreds of separate forms insurers currently make physicians’ offices use.
Both rules take effect Sept. 1.
Action, May 1, 2015
Last Updated On
April 30, 2015