N.D. Cent. Code ch. 26.1-36.12 – Prior Authorization for Health Insurance | Midpage

Collections
North Dakota Century Code

Chapter 26.1-36.12

N.D. Cent. Code ch. 26.1-36.12

Prior Authorization for Health Insurance

26.1-36.12-01Definitions 26.1-36.12-02Disclosure and review of prior authorization requirements 26.1-36.12-03Personnel qualified to make adverse determinations 26.1-36.12-04Personnel qualified to review appeals 26.1-36.12-05Prior authorization - Nonurgent circumstances 26.1-36.12-06Prior authorization - Urgent health care services 26.1-36.12-07Prior authorization - Emergency medical condition 26.1-36.12-08No prior authorization for medication-assisted treatment 26.1-36.12-09Retrospective denial 26.1-36.12-10Length of prior authorization 26.1-36.12-11Chronic or long-term care conditions 26.1-36.12-12Continuity of care for enrollees 26.1-36.12-13Failure to comply - Services deemed authorized 26.1-36.12-14Procedures for appeals of adverse determinations 26.1-36.12-15Effect of change in prior authorization clinical criteria 26.1-36.12-16Notification to claims administrator 26.1-36.12-17Annual report to insurance commissioner