Planning for the Future of Healthcare Legislation: Agadia’s Response to Colorado Revised Statutes

When it comes to healthcare legislation, staying ahead is not just a necessity; it’s our commitment at Agadia. As of February 20, 2024, the Colorado Revised Statutes Annotated Title 10, Section 10-16-124.5 introduces crucial changes in the prior authorization process for drug benefits. At Agadia, we are not just aware of these changes; we are actively addressing them through our innovative solution, PAHub.

Understanding the Legislative Landscape

Colorado Revised Statutes Annotated Title 10, Section 10-16-124.5 outlines comprehensive modifications in the prior authorization process for drug benefits. These changes impact carriers, pharmacy benefit management firms, and prescribing providers. It introduces stringent timelines, electronic submission requirements, and criteria for approvals and denials.

colorado prior authorization

Agadia’s Commitment: PAHub Enhancements

At Agadia, we understand the importance of adapting to legislative changes swiftly. As part of our commitment to staying ahead, Agadia conducts 9 scheduled releases each year to address both custom and global enhancements to meet requirements and needs of our customers. Global enhancement feature releases are offered at no charge to our customers, as they are changes that are deployed by Agadia.

In April 2023, we made global enhancements to PAHub in response to the Michigan legislature. Since then, Colorado and Nevada have adopted similar statutes, showcasing the widespread relevance of this legislation. Our next Global release, taking place in March, will include further enhancements to align with these legislative statutes.

Why Does it Matter?

The legislative landscape is dynamic, and trends suggest that more states will adopt similar statutes in the coming year. Understanding the implications and having the capability to adapt is crucial for healthcare organizations. With Agadia’s prior authorization solution, PAHub, you not only stay compliant but gain a strategic advantage in an ever-changing healthcare environment.

Join Us in Navigating Change

As healthcare legislation continues to evolve, Agadia remains at the forefront, providing cutting-edge technology to empower our clients.

For our existing customers, stay tuned for the March release – another step forward in our journey to redefine how healthcare organizations adapt to change. For Health Plans and PBMs looking to enhance their prior authorization management programs, contact us to schedule a demo!

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