Prescription Drug Prior Authorization (PA) Companion Guide

Minnesota Statutes, section 62J.497, subd. 5 requires

(b) By January 1, 2014, the Minnesota Administrative Uniformity Committee shall develop the standard companion guide by which providers and group purchasers will exchange standard drug authorization requests using electronic data interchange standards, if available, with the goal of alignment with standards that are or will potentially be used nationally.”

(c) No later than January 1, 2015, drug prior authorization requests must be accessible and submitted by health care providers, and accepted by group purchasers, electronically through secure electronic transmissions. Facsimile shall not be considered electronic transmission.

The Minnesota Companion Guide Version 1.0 for the Implementation of NCPDP Electronic Prior Authorization (ePA) transactions [NCPDP SCRIPT Standard version 2013071] (PDF: 71KB/1pgs) was developed by the AUC pursuant to statue and is available to meet the requirements above.

Additional information regarding the companion guide development process and the national prescription drug electronic PA standard are also available in the following documents: