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Current as of January 01, 2025 | Updated by Findlaw Staff
(a) A prior authorization for a chronic condition is valid for a period of not less than 12 months while the covered person remains covered by the health care policy. If the treatment plan for a chronic condition is unchanged and the covered person's health care provider submits to the health care insurer certification of compliance with the current treatment plan, the health care insurer shall automatically renew the prior authorization approval for the chronic condition for an additional 12-month period.
(b) Except for a prior authorization for a chronic condition subject to (a) of this section, a prior authorization is valid for a period of 90 calendar days or a duration that is clinically appropriate, whichever is longer. If a health care insurer intends to implement a new prior authorization requirement or restriction, or amend an existing requirement or restriction, the health care insurer shall provide a participating health care provider written notice of the new or amended requirement or restriction not less than 60 days before the requirement or restriction is implemented. The health care insurer shall post notice on the health care insurer's public facing, accessible Internet website not less than 60 days before implementation of the requirement or restriction. If a health care provider agrees in advance to receive notices electronically, the written notice may be provided in an electronic format. The health care insurer may not implement a new or amended requirement until the Internet websites of both the health care insurer and the utilization review organization have been updated to reflect the new or amended requirement or restriction.
Cite this article: FindLaw.com - Alaska Statutes Title 21. Insurance § 21.07.130. Period of validity of prior authorization - last updated January 01, 2025 | https://codes.findlaw.com/ak/title-21-insurance/ak-st-sect-21-07-130/
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature before relying on it for your legal needs.
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