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Bill to Raise Preauthorization Limit Heads to Governor

Wednesday, November 20, 2024 | 0

New York lawmakers finally sent the governor a bill that would increase the threshold used to identify medical procedures needing prior approval. Senate Bill 6929 was delivered to the governor's desk Friday. The bill, by Sen. Nathalia Fernandez, D-Bronx, would raise the limit for treatment that can be provided without prior approval to $1,500 from $1,000. The bill would also clarify that medical treatment guidelines are only a list of treatments that do not require carrier approval and that procedures can't be summarily denied because they're not on the list. "Based on...

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