As used in this article: “Board” means the Board of Medical Assistance Services. “Committee” means the Medicaid Prior Authorization Advisory Committee established pursuant to this article. “Department” means the Department of Medical Assistance Services. “Director” means the Director of Medical Assistance Services. “Drug” shall have the same meaning, unless the context otherwise dictates or the […]
The Board shall amend the state plan and promulgate regulations to establish the Medicaid Prior Authorization Advisory Committee, composed of 11 members to be appointed by the Board. Five members shall be physicians, at least three of whom shall care for a significant number of Medicaid patients; four shall be pharmacists, two of whom shall […]
A. The Committee shall make recommendations to the Board regarding drugs or categories of drugs to be subject to prior authorization and prior authorization requirements for prescription drug coverage under the state plan, as well as any subsequent amendments to or revisions of such prior authorization requirements from time to time. The Board may accept […]
A. The Committee shall review prescription drug products to recommend prior authorization under the state plan in accordance with this article and regulations promulgated by the Board. Such review may be initiated by the Director, the Committee itself, or by written request of the Board. The Committee shall complete its recommendations to the Board within […]
The members of the Committee and of the Board, as well as the staff of the Department, shall be immune, individually and jointly, from civil liability for any act, decision, or omission done or made in performance of their duties pursuant to this article while serving as a member of such Board, Committee, or staff […]
The Committee shall report annually to the Joint Commission on Health Care regarding its recommendations for prior authorization of drug products. 1993, c. 537.
