Prior authorization shall not be required for unanticipated emergency healthcare services, urgent healthcare services, or covered healthcare services which are incidental to the primary covered healthcare service and determined by the covered person’s physician or dentist to be medically necessary.
History. Code 1981, § 33-46-24 , 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