69O-161.011. Use of Prior Authorization Form

All authorized insurers offering health insurance as defined in Section 624.603, F.S., managed care plans as defined in Section 409.962(9), F.S., and health maintenance organizations as defined in Section 641.19(12), F.S., which do not provide an electronic prior authorization process for use by its contracted providers shall use only the Prior Authorization Form (OIR Form OIR-B2-2180) (12/16), Prior Authorization Form for Medical Procedures, Courses of Treatment, or Prescription Drug Benefits, http://www.flrules.org/Gateway/reference.asp?No=Ref-07606, which is hereby incorporated and made part of this rule chapter by reference.

Rulemaking Authority 624.308(1), 627.42392 FS. Law Implemented 624.307(1), 627.42392 FS. History–New 1-11-17.