§36-6570.7. Services not requiring prior authorization — Time frame
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to notify utilization review entity of such services.
A. A utilization review entity shall not require prior authorization for pre-hospital transportation, for the provision of emergency health care services, or for transfers between facilities as required by the Emergency Medical Treatment and Active Labor Act.
B. A utilization review entity shall allow an enrollee and the enrollee's health care provider a minimum of twenty-four
(24)hours following an emergency admission or provision of emergency health care services for the enrollee or health care provider to notify the utilization review entity of the admission or provision of health care services. If the admission or health care service occurs on a holiday or weekend, a utilization review entity cannot require notification until the next business day after the admission or provision of the health care services.
C. A utilization review entity shall cover emergency health care services in accordance with the requirements of Section 6907 of Title 36 of the Oklahoma Statutes. Added by Laws 2024, c. 303, § 8, eff. Jan. 1, 2025.