Illinois prior authorization laws (2026)
General reference compiled from public statutes and the AMA state-law chart. This is not legal advice. Statutes change; confirm the current law before relying on it.
Decision deadlines
Prior authorization (State-regulated health plans)
Standard decision: 5 calendar_days. Expedited: 48 hours.
Illinois Public Act 102-0409 · sourceFrequently asked questions
How long does an insurer have to decide a prior authorization in Illinois?
Under Illinois Public Act 102-0409, a standard prior authorization decision is generally due within 5 calendar_days, and an expedited decision within 48 hours. Confirm the current statute, as timeframes vary by plan type.
Other states
Track these rules automatically
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