WebOct 1, 2024 · New Texas gold card law streamlines prior authorizations. Beginning Oct. 1, 2024, certain provisions of Texas House Bill 3459, as known as the “Texas gold card … WebNov 30, 2024 · Under HB 3459, for certain health plans, physicians can earn a continuous exemption from prior authorization – or “gold card” – by earning approvals on at least …
Texas Gold Card Law Frequently Asked Questions
WebSep 15, 2024 · The gold-carding provisions of the law apply to state-regulated commercial HMO plans, preferred-provider benefit plans, exclusive-provider benefit plans, and certain Employees Retirement System of Texas and Teacher Retirement System of … Prior authorization requirements can lead to negative clinical outcomes. Get the … WebAug 19, 2024 · Gold carding refers to the practice of exempting providers from seeking prior authorization of a service IF they have an acceptable approval rating over a … has walter the dog died
Could Texas Law on Limiting Prior Authorization Delays Move the …
Webeach exempted service. According to the Texas law, this is evaluated every 6 months. The evaluation periods run from Jan. 1 through June 30 and July 1 through Dec. 31 every year. Health plans must complete their pre-authorization analysis and send notices to providers within 2 months of the end of the evaluation period. Texas gold card exemptions WebJun 16, 2024 · Read more about how the Texas physician gold card law will cut prior-authorization delays. Movement at the federal level In Congress, “The Improving Seniors’ Timely Access to Care Act ” (HR 3173; S. 3018) would require Medicare Advantage plans to streamline and standardize prior-authorization processes and improve the transparency … WebOct 20, 2024 · Texas’ gold-carding law applies to HMOs and insurers subject to Insurance Code Chapter 4201, Subchapter N , including a utilization review agent or a person who … has their always been chapters in fortnite