HARRISBURG – In accordance with regulations set forth in Act 146 of 2022, the Pennsylvania Insurance Department (PID) launched a state-administered independent appeal process earlier today, according to the act’s sponsor, Sen. Kristin Phillips-Hill (R-York).
Health care providers and insurers must comply with established standards and ensure timely feedback in the process of obtaining prior authorization approval for medical treatment and procedures. This legal mandate extends to encompass all commercial health insurance carriers and Medicaid plans.
“As part of my continued dedication to a transparent and effective state government, this transformative process ensures that patients are connected to their appropriate treatments at an earlier stage,” Phillips-Hill said. “This law marked one of the most significant reforms to health care in our Commonwealth in decades due to the willingness of all stakeholders to compromise over a multi-year effort that led to the culmination of former Gov. Tom Wolf signing this measure into law. Our goal then remains the same today: we want to see improved patient outcomes.”
Act 146 of 2022 went into effect on Jan. 1.