CGS § 19a-490mm. Data re time spent by employee of hospital or outpatient surgical facility for prior authorization, precertification of admission, service, medication, procedure or extension of stay from health carrier.

On and after January 1, 2025, each hospital and outpatient surgical facility, as such terms are defined in section 19a-490bb, and each group practice, as defined in section 19a-486i, may record and maintain data regarding the amount of time spent when an employee of the hospital, outpatient surgical facility or group practice requests prior authorization for or precertification of an admission, service, medication, procedure or extension of stay from a health carrier for a patient of the hospital, outpatient surgical facility or group practice, including, but not limited to, speaking directly with the health carrier, physician peer-to-peer conversations regarding the prior authorization or precertification and writing appeals of a denial of any request for a prior authorization or precertification. Each hospital, outpatient surgical facility and group practice may (1) use preauthorization and precertification codes generated by a hospital association in the state to uniformly record such data, and (2) make such data available to the joint standing committee of the General Assembly having cognizance of matters relating to public health upon the request of the chairpersons and ranking members of such committee.