2022 Georgia Code
Title 33 - Insurance
Chapter 46 - Certification of Private Review Agents
Article 2 - Prior Authorizations
§ 33-46-26. Timely Notification of Prior Authorization or Adverse Determination

Effective January 1, 2022, until December 31, 2022, if an insurer requires prior authorization of a healthcare service, a private review agent or utilization review entity shall notify the covered person’s healthcare provider, or such provider’s appropriately qualified designee, of any prior authorization or adverse determination within 15 calendar days of obtaining all necessary information to make such authorization or adverse determination. Effective January 1, 2023, if an insurer requires prior authorization of a healthcare service, a private review agent or utilization review entity shall notify the covered person’s healthcare provider, or such provider’s appropriately qualified designee, of any prior authorization or adverse determination within 7 calendar days of obtaining all necessary information to make such authorization or adverse determination.

History. Code 1981, § 33-46-26 , enacted by Ga. L. 2021, p. 629, § 2/SB 80.