The purpose of this rule development is to develop and adopt a prior authorization form for health insurers, managed care plans and health maintenance organizations who do not provide for an electronic prior authorization process, and to adopt ...  

  •  

    DEPARTMENT OF FINANCIAL SERVICES

    OIR – Insurance Regulation

    RULE NOS.:RULE TITLES:

    69O-161.001Purpose

    69O-161.009Form Availability

    69O-161.010Guidelines for Prior Authorization Forms

    69O-161.011Use of Prior Authorization Form

    PURPOSE AND EFFECT: The purpose of this rule development is to develop and adopt a prior authorization form for health insurers, managed care plans and health maintenance organizations who do not provide for an electronic prior authorization process, and to adopt guidelines for all prior authorization forms.

    SUBJECT AREA TO BE ADDRESSED: Prior authorization forms to be used by health insurers, managed care plans and health maintenance organizations.

    RULEMAKING AUTHORITY: 624.308(1), 627.647, 627.42392 FS.

    LAW IMPLEMENTED: 624.307(1), 627.510(2), 627.647, 627.42392 FS.

    IF REQUESTED IN WRITING AND NOT DEEMED UNNECESSARY BY THE AGENCY HEAD, A RULE DEVELOPMENT WORKSHOP WILL BE HELD AT THE DATE, TIME AND PLACE SHOWN BELOW:

    DATE AND TIME: Monday, July 25, 2016, 9:30 a.m.

    PLACE: 116 Larson Building, 200 East Gaines Street, Tallahassee, Florida

    Pursuant to the provisions of the Americans with Disabilities Act, any person requiring special accommodations to participate in this workshop/meeting is asked to advise the agency at least 5 days before the workshop/meeting by contacting: Andrew Marcus, Office of Insurance Regulation, E-mail: Andrew.Marcus@floir.com. If you are hearing or speech impaired, please contact the agency using the Florida Relay Service, 1(800)955-8771 (TDD) or 1(800)955-8770 (Voice).

    THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE DEVELOPMENT AND A COPY OF THE PRELIMINARY DRAFT, IF AVAILABLE, IS: Andrew Marcus, Office of Insurance Regulation, E-mail Andrew.Marcus@floir.com

    THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS NOT AVAILABLE.

Document Information

Subject:
Prior authorization forms to be used by health insurers, managed care plans and health maintenance organizations.
Purpose:
The purpose of this rule development is to develop and adopt a prior authorization form for health insurers, managed care plans and health maintenance organizations who do not provide for an electronic prior authorization process, and to adopt guidelines for all prior authorization forms.
Rulemaking Authority:
624.308(1), 627.647, 627.42392, FS.
Law:
624.307(1), 627.510(2), 627.647, 627.42392, FS.
Contact:
Andrew Marcus, Office of Insurance Regulation, E-mail Andrew.Marcus@floir.com.
Related Rules: (4)
69O-161.001. Purpose
69O-161.009. Form Availability
69O-161.010.
69O-161.011.