Review of prior authorization requirements

215 ILCS 200/50, under Prior Authorization Reform Act.

215 ILCS 200/50

(215 ILCS 200/50)

    Sec. 50. Review of prior authorization requirements. A health insurance issuer shall periodically review its prior authorization requirements and consider removal of prior authorization requirements:

        (1) where a medication or procedure prescribed is     customary and properly indicated or is a treatment for the clinical indication as supported by peer-reviewed medical publications; or        (2) for patients currently managed with an     established treatment regimen. (Source: P.A. 102-409, eff. 1-1-22.)