Prior authorization requirements

Tenn. Code Ann. § 56-7-3718, under Prior Authorization Fairness Act.

Tenn. Code Ann. § 56-7-3718

A health carrier or utilization review organization shall, at least annually, review its prior authorization requirements and consider removal of prior authorization where a prescription or medical service check is customary and properly indicated or is a treatment for the clinical indication as supported by peer-reviewed medical publications.