The Health Coverage Programs (IHCP) issued a bulletin reminding providers requesting an administrative review, also known as a reconsideration, of a denied or partially approved fee-for-service (FFS) nonpharmacy prior authorization (PA), that they must submit a written request to the FFS prior authorization and utilization management (PA-UM) contractor within seven business days of receipt of the PA decision notification.
For more information, contact NACDS’ Mary Staples at 817-442-1155.