If initial healthcare services are performed within 45 business days of approval of prior authorization, the insurer shall not revoke, limit, condition, or restrict such authorization, unless such prior authorization is for a Schedule II controlled substance or there is a billing error, fraud, material misrepresentation, or loss of coverage.
History. Code 1981, § 33-46-23 , enacted by Ga. L. 2021, p. 629, § 2/SB 80.
Structure Georgia Code
Chapter 46 - Certification of Private Review Agents
Article 2 - Prior Authorizations
§ 33-46-20. Prior Authorization Requirements Posted on Website; Statistical Reporting
§ 33-46-22. Review of Appeals by Appropriate Healthcare Provider
§ 33-46-23. Restrictions on Authorizations When Service Timely Rendered
§ 33-46-24. Medically Necessary Unanticipated Emergency or Urgent Healthcare Services
§ 33-46-26. Timely Notification of Prior Authorization or Adverse Determination
§ 33-46-27. Notification Time for Prior Authorization or Adverse Determination
§ 33-46-28. Honoring of Prior Authorizations
§ 33-46-29. Noncompliance Resulting in Automatic Authorization
§ 33-46-30. Mandatory Compliance
§ 33-46-31. Role of Commissioner; Compliance Enforced by Department of Community Health