As used in this chapter, "prior authorization" means the process by which a utilization review entity determines the medical necessity of an otherwise covered health care service before the health care service is rendered. The term includes a utilization review entity's requirement that a covered individual or health care provider notify the utilization review entity prior to providing a health care service.

As added by P.L.77-2018, SEC.2. Amended by P.L.144-2025, SEC.14.