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Article 1 - General Provisions
§ 33-46-1. Construction - This chapter shall be construed liberally to promote consumer protection....
§ 33-46-2. Application - History. Code 1981, § 33-46-2 , enacted by Ga. L....
§ 33-46-3. Legislative Purposes and Intent - History. Code 1981, § 33-46-1 , enacted by Ga. L....
§ 33-46-4. Definitions - As used in this chapter, the term: Such term shall...
§ 33-46-5. Certification of Private Review Agents; Exemption - History. Code 1981, § 33-46-3 , enacted by Ga. L....
§ 33-46-6. Requirements for Certification; Utilization of Nationally Recognized Accreditation Standards; Website Identifying Nationally Recognized Accreditation Entities - History. Code 1981, § 33-46-4 , enacted by Ga. L....
§ 33-46-7. Certificate Application Fees; Information to Be Submitted With Application - The information provided must demonstrate to the satisfaction of the...
§ 33-46-8. Expiration and Renewal of Certificate - History. Code 1981, § 33-46-6 , enacted by Ga. L....
§ 33-46-9. Jurisdiction of Commissioner Over Private Review Agents and Utilization Review Entities - Private review agents and utilization review entities shall be subject...
§ 33-46-10. Applicability of Chapter 39 of Title 33 - Private review agents and utilization review entities shall be subject...
§ 33-46-11. Listings of Certificate Holders - The Commissioner shall periodically, not less than once a year,...
§ 33-46-12. Reporting Requirements - The Commissioner shall establish such reporting requirements upon private review...
§ 33-46-13. Adoption of Rules and Regulations - The Commissioner shall adopt rules and regulations to implement the...
§ 33-46-14. Exemptions From Certificate Requirements - No certificate is required for utilization review by any Georgia...
§ 33-46-15. Exemptions From Applicability of Chapter - History. Code 1981, § 33-46-13 , enacted by Ga. L....
§ 33-46-16. Commissioner to Issue Annual Report - The Commissioner shall issue an annual report to the Governor...
Article 2 - Prior Authorizations
§ 33-46-20. Prior Authorization Requirements Posted on Website; Statistical Reporting - History. Code 1981, § 33-46-20 , enacted by Ga. L....
§ 33-46-21. Insurer Responsibility for Compliance; Periodic Reviews; Evaluation of Adverse Determinations - History. Code 1981, § 33-46-21 , enacted by Ga. L....
§ 33-46-22. Review of Appeals by Appropriate Healthcare Provider - A private review agent or utilization review entity shall ensure...
§ 33-46-23. Restrictions on Authorizations When Service Timely Rendered - If initial healthcare services are performed within 45 business days...
§ 33-46-23.1. [Effective January 1, 2023] Prior Authorization of Prescription Medications for Chronic Conditions - History. Code 1981, § 33-46-23.1 , enacted by Ga. L....
§ 33-46-24. Medically Necessary Unanticipated Emergency or Urgent Healthcare Services - Prior authorization shall not be required for unanticipated emergency healthcare...
§ 33-46-25. Prior Authorization for Ambulance Transportation or Emergency Healthcare Services Prohibited - An insurer cannot require prior authorization for emergency prehospital ambulance...
§ 33-46-26. Timely Notification of Prior Authorization or Adverse Determination - Effective January 1, 2022, until December 31, 2022, if an...
§ 33-46-27. Notification Time for Prior Authorization or Adverse Determination - A private review agent or utilization review entity shall render...
§ 33-46-28. Honoring of Prior Authorizations - History. Code 1981, § 33-46-28 , enacted by Ga. L....
§ 33-46-29. Noncompliance Resulting in Automatic Authorization - Each violation by a private review agent or utilization review...
§ 33-46-30. Mandatory Compliance - With regard to the provision of healthcare services, each contract...
§ 33-46-31. Role of Commissioner; Compliance Enforced by Department of Community Health - The Commissioner shall not have the authority to approve, disapprove,...
§ 33-46-32. Commissioner’s Authority Not Reduced - Nothing in this chapter shall be construed as reducing the...