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2022 Delaware Code
Title 18 - Insurance Code
Chapter 33. HEALTH INSURANCE CONTRACTS
Subchapter II. Pre-Authorization Transparency
§ 3376. Length of pre-authorization.
Universal Citation:
18 DE Code § 3376 (2022)
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§ 3376. Length of pre-authorization.
(a) A pre-authorization for pharmaceuticals shall be valid for 1 year from the date the health-care provider receives the pre-authorization, subject to confirmation of continued coverage and eligibility and to policy changes validly delivered as per § 3372 of this title and except as otherwise set by evidence-based treatment protocol.
(b) A pre-authorization for a health-care service shall be valid for a period of time that is reasonable and customary for the specific service, but no less than 60 days, from the date the health-care provider receives the pre-authorization, subject to confirmation of continued coverage and eligibility and to policy changes validly delivered as per § 3372 of this title.
80 Del. Laws, c. 310, § 1;
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