Indiana Medicaid reduces coverage for autism therapy, but not as drastically as expected, with a three-year lifetime limitation and a 30, 32, or 38 hour per week cap.

Dallas, filed a bill this legislative session to prohibit insurance companies from requiring prior authorization before covering medications intended to prevent the ...

Insurance companies may require what’s known as prior authorization for medical services before they will cover it. The ...

A bipartisan coalition voted to strike down two bills that would have phased out or added requirements to the health coverage program.

| With budget reconciliation right around the corner, different slices of the healthcare industry have made their views clear on issues like physician pay, ACA subsidies, telehealth flexibilities, ...

Opioid overdoses kill each day. But it's easier to access fentanyl in Arizona than the medications that can help keep people ...

Insurers say they help lower patient costs by helping people avoid unnecessary or inappropriate health services.

Medicare, however, continues to put up far fewer barriers to care, according to the KFF review of data from the Centers for Medicare & Medicaid Services. Medicare sought prior authorization for ...

Known as Home and Community-Based Services (HCBS) waivers, the programs—now in their fourth decade—are funded by Medicaid and run by each individual state. With potential cuts to Medicaid a ...

Lawmakers pressed RFK Jr, a longtime vaccine critic, on his qualifications to oversee HHS, a $1.7 trillion agency that oversees Medicare, Medicaid, funding for medical research, public health ...

SAN FRANCISCO, CALIFORNIA / ACCESS Newswire / January 30, 2025 / A new study published in JAMA Network Open has found that while procedural ...

Researchers analyzed Medicaid data in two different states ... For example, Waymark's pharmacy team routinely fills out prior authorization forms and works with providers to mitigate the risk ...