State Specific Resources

Kentucky

• Policy 309F Content and Delivery of Written Notice Internal Review Determination Letters and Denials
• Policy 310F Prohibition Against Retrospective Denial of Coverage
• Policy 504F Prospective Concurrent and Retrospective Drug Management
• Policy 510F Exceptions 
• Policy 511F Excluded Drugs
• Policy 516F Appeals
• Policy 527G Timeliness
• Policy 1202F Record Retention for Internal Appeals
• Policy 1401F Grievances and Appeals
• Policy 1402F Grievances and Appeals Internal Appeals
• Policy 1403F Grievances and Appeals External Appeals
• Policy 1404F Urgent Care
• Policy 1405F Specific Grievances and Appeals for Handling Complaints
• Policy 1610F Utilization Review
• Policy 1611F Utilization Review Business Hours
• Policy 1612F Utilization Review Written Notice Language
• Policy 1702F Utilization Review Reporting Requirements
• Policy 1801F UPrescription Drug Electronic Prior Authorization
• Policy 1803F DOI Requirements
• Policy 1901F ePrescribing

Montana

• Network Pharmacies

West Virginia

• WV NADAC Quarterly Report Template