™Your Policy Risk Impact Agent
56 chapters · 1,073 sections in this title.
W.S. § 26-55-101 Short title
0.1K chars
Short title. This act shall be known and may be cited as the "Ensuring Transparency in Prior Authorization Act."
W.S. § 26-55-102 Definitions
3.9K chars
Definitions. (a) As used in this act: (i) "Adverse determination" means a decision by a health insurer or contracted utilization review entity to deny, reduce or terminate benefit coverage for health care services furnished or proposed to be furnished because the services are not…
W.S. § 26-55-103 Disclosure and review of prior authorization requirements
2.4K chars
Disclosure and review of prior authorization requirements. (a) Each health insurer or contracted utilization review entity shall make any current prior authorization requirements and restrictions easily accessible on its website to enrollees, health care providers and the general…
W.S. § 26-55-104 Persons qualified to make adverse determinations
0.7K chars
Persons qualified to make adverse determinations. (a) Each health insurer or contracted utilization review entity shall ensure that all adverse determinations are made by a physician or other appropriate licensed health care provider who has: (i) Sufficient medical knowledge in a…