Emergency Admission Reviews. The Contractor shall have the capability and established procedures to receive Emergency Admission Reviews post- admission for admissions that are not planned or elective and conduct prior authorizations when the Member has not been discharged. The Contractor shall ensure determinations for Emergency Admission Reviews are completed ninety-eight percent (98%) of the time within twenty-four (24) hours (one workday) of receipt.
Appears in 11 contracts
Samples: medicaid.ms.gov, medicaid.ms.gov, medicaid.ms.gov
