CTC Committee looking at improving the prior authorizations in Rhode Island

  • 11 Aug 2023

A group of representatives of Rhode Island’s health plans and other key stakeholders convened by CTC-RI and 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 health plans, providers and patients’ needs for a more effective, less burdensome prior approval process. 

At its meeting on August 10th, the committee reviewed recently passed legislation that addresses uniformity of claims, annual review, improved transparency, continuity of care and adoption of technology, and selective prior authorization opportunities. The committee has been working on drafting recommendations to present to OHIC before the end of the year.