Transparency Requirements
District of Columbia Prior Authorization Requirements
A guide to prior authorization rules, turnaround times, and laws for medical practices operating in District of Columbia (DC).
PA Turnaround Times
Standard Requests
14 calendar days
Urgent / Expedited
48 hours
Key Regulations
- Standard PA turnaround of 14 calendar days
- Urgent requests within 48 hours
- PA criteria disclosure requirements
District of Columbia Medicaid PA
DC Medicaid uses managed care. PA administered by MCOs under District oversight.
Top Payers in District of Columbia
CareFirst Blue Cross Blue ShieldUnitedHealthcareAetnaKaiser Permanente
State Regulatory Body: DC Department of Insurance, Securities and Banking
File PA complaints or appeals through your state insurance department.
Automate PA in District of Columbia
Greenlight knows every payer's PA requirements in District of Columbia and checks them automatically before every appointment -- so your staff does not have to.
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