Committee Looking at Improving Prior Authorizations in Rhode Island

A group of representatives of Rhode Island’s health plans and other key stakeholders convened by CTC-RI have been meeting since May to continue the work produced by the OHIC Task Force on Prior Authorization. The committee is charged with developing concrete recommendations that take into account the health plans, providers and patients’ needs for a more effective and less burdensome prior approval process. 

At its August meeting, the committee reviewed recently passed legislation that addresses uniformity of claims, annual review, improved transparency, continuity of care, adoption of technology, and selective prior authorization opportunities. The committee is working on drafting a report of seven recommendations to present to OHIC by November 2023.