Additionally, the bill would update the fee schedule and impact billing and utilization requirements.
Additionally, the bill would update the fee schedule and impact billing and utilization requirements.
An employer panel discussed issues such as access to care, early intervention practices, and claims culture and communication.
The bill would standardize timelines, notice requirements, and dispute resolution processes.
The bill did not pass out of its original committee before a crucial deadline, and failed to pass after a special hearing.
The bill would allow payers to direct prescriptions to pharmacy networks and create limits for physician dispensing and compounds.
Senate Bill 1404 could grant workers greater choice over their provider, pharmacy, certain ancillary services, and more.
Employees could be informed of network pharmacies, while out-of-network pharmacies could be denied reimbursement.
One bill conflicts with existing statutes on the timeline to pay pharmacy bills, while another could be preempted by TRICARE law.
If enacted, Indiana House Bill 1069 would go into effect July 1, 2026, while Washington Senate Bill 5847 would go into effect June 30, 2027.
The bill would have duplicated existing protections for filling certain prescription out-of-network.
This workshop will cover rules around panel provider lists, delegating follow-up care to physician assistants, and other clerical matters.
Exams from previous employers could be used to demonstrate that workers had no signs of occupational illnesses prior to employment.
Assembly Bill 651 could impact benefits levels, PTSD presumptions, penalties, and more
Effective January 1st, CARC and RARC codes will be permitted for use in EOBs, leveraging nationally recognized standards.
Among many things, the FAQ discusses processes for formulary changes, administrative fines, and provider lists.
