State External Appeals Review Processes
This data is presented as an interactive tool that allows users to: filter by timeframe/year, select specific data columns (distributions), filter by state or geography, and view the data as a table, map, or trend chart.
as of July 9, 2024
| Location | State has Effective External Appeals Review Process? | NAIC Standard Met? | HHS Administered Process/Independent Review Organization Process |
|---|---|---|---|
| United States | Yes: 46 states (including DC) and 1 U.S. territory | Meets Parallel: 46 states (including DC) and 1 U.S. territory | Yes: 5 states and 4 U.S. territories |
| Alabama | No | No | Yes |
| Alaska | Yes | Meets Parallel | N/A |
| Arizona | Yes | Meets Parallel | N/A |
| Arkansas | Yes | Meets Parallel | N/A |
| California | Yes | Meets Parallel | N/A |
| Colorado | Yes | Meets Parallel | N/A |
| Connecticut | Yes | Meets Parallel | N/A |
| Delaware | Yes | Meets Parallel | N/A |
| District of Columbia | Yes | Meets Parallel | N/A |
| Florida | No | No | Yes |
| Georgia | No | No | Yes |
| Hawaii | Yes | Meets Parallel | N/A |
| Idaho | Yes | Meets Parallel | N/A |
| Illinois | Yes | Meets Parallel | N/A |
| Indiana | Yes | Meets Parallel | N/A |
| Iowa | Yes | Meets Parallel | N/A |
| Kansas | Yes | Meets Parallel | N/A |
| Kentucky | Yes | Meets Parallel | N/A |
| Louisiana | Yes | Meets Parallel | N/A |
| Maine | Yes | Meets Parallel | N/A |
| Maryland | Yes | Meets Parallel | N/A |
| Massachusetts | Yes | Meets Parallel | N/A |
| Michigan | Yes | Meets Parallel | N/A |
| Minnesota | Yes | Meets Parallel | N/A |
| Mississippi | Yes | Meets Parallel | N/A |
| Missouri | Yes | Meets Parallel | N/A |
| Montana | Yes | Meets Parallel | N/A |
| Nebraska | Yes | Meets Parallel | N/A |
| Nevada | Yes | Meets Parallel | N/A |
| New Hampshire | Yes | Meets Parallel | N/A |
| New Jersey | Yes | Meets Parallel | N/A |
| New Mexico | Yes | Meets Parallel | N/A |
| New York | Yes | Meets Parallel | N/A |
| North Carolina | Yes | Meets Parallel | N/A |
| North Dakota | Yes | Meets Parallel | N/A |
| Ohio | Yes | Meets Parallel | N/A |
| Oklahoma | Yes | Meets Parallel | N/A |
| Oregon | Yes | Meets Parallel | N/A |
| Pennsylvania | Yes | Meets Parallel | N/A |
| Rhode Island | Yes | Meets Parallel | N/A |
| South Carolina | Yes | Meets Parallel | N/A |
| South Dakota | Yes | Meets Parallel | N/A |
| Tennessee | Yes | Meets Parallel | N/A |
| Texas | No | No | Yes |
| Utah | Yes | Meets Parallel | N/A |
| Vermont | Yes | Meets Parallel | N/A |
| Virginia | Yes | Meets Parallel | N/A |
| Washington | Yes | Meets Parallel | N/A |
| West Virginia | Yes | Meets Parallel | N/A |
| Wisconsin | No | No | Yes |
| Wyoming | Yes | Meets Parallel | N/A |
| American Samoa | No | No | Yes |
| Guam | No | No | Yes |
| Northern Mariana Islands | No | No | Yes |
| Puerto Rico | Yes | Meets Parallel | N/A |
| U.S. Virgin Islands | No | No | Yes |