Senate Bill 1216, 83rd Legislature, Regular Session (2013) required the Texas Department of Insurance to adopt a rule creating a standard form that health care providers can use to request prior authorization of health care services from health benefit plan issuers. The new rule requires certain issuers of health care services and their agents to accept and use a standard form for all prior authorizations of health care services for which the issuer’s plan requires prior authorization, and requires TDI, the issuer, and the issuer’s agent to make the form available in paper form and electronically on their websites. This rule is effective September 1, 2015.
Rule Adopting Standard Request Form for Prior Authorization of Health Care Services
