Common use of Expedited authorization decisions Clause in Contracts

Expedited authorization decisions. a. For cases in which a provider indicates, or the Contractor determines, that following the standard timeframe could seriously jeopardize the beneficiary’s life or health or ability to attain, maintain, or regain maximum function, the Contractor shall make an expedited authorization decision and provide notice as expeditiously as the beneficiary’s health condition requires, and no later than 72 hours after receipt of the request for service.

Appears in 19 contracts

Samples: Intergovernmental Agreement, Intergovernmental Agreement, Intergovernmental Agreement

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Expedited authorization decisions. a. For cases in which a provider indicates, or the Contractor determines, that following the standard timeframe could seriously jeopardize the beneficiary’s life or health or ability to attain, maintain, or regain maximum function, the Contractor shall make an expedited authorization decision and provide notice as expeditiously as the beneficiary’s health condition requires, requires and no later than 72 hours after receipt of the request for service.

Appears in 11 contracts

Samples: Intergovernmental Agreement, Standard Agreement, Intergovernmental Agreement

Expedited authorization decisions. a. (i) For cases in which a provider indicates, or the Contractor determines, that following the standard timeframe could seriously jeopardize the beneficiary’s life or health or ability to attain, maintain, or regain maximum function, the Contractor shall must make an expedited authorization decision and provide notice as expeditiously as the beneficiary’s 's health condition requires, requires and no later than 72 hours 3 working days after receipt of the request for service.

Appears in 9 contracts

Samples: Standard Agreement, Standard Agreement, Intergovernmental Agreement

Expedited authorization decisions. a. For cases in which a provider indicates, or the Contractor determines, that following the standard timeframe could seriously jeopardize the beneficiary’s life or health or ability to attain, maintain, or regain maximum function, the Contractor shall make an expedited authorization decision and provide notice as expeditiously as the beneficiary’s health condition requires, and no later than 72 hours after receipt of the request for service.. Exhibit A, Attachment I Program Specifications

Appears in 2 contracts

Samples: Intergovernmental Agreement, Intergovernmental Agreement

Expedited authorization decisions. a. For cases in which a provider indicates, or the Contractor determines, that following the standard timeframe could seriously jeopardize the beneficiary’s life or health or ability to attain, maintain, or regain maximum function, the Contractor shall make an expedited authorization decision and provide notice as expeditiously as the beneficiary’s health condition requires, requires and no later than 72 hours after receipt of the request for service.. Exhibit A, Attachment I Program Specifications

Appears in 1 contract

Samples: Intergovernmental Agreement

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Expedited authorization decisions. a. For cases in which a provider indicates, or the Contractor determines, that following the standard timeframe could seriously jeopardize the beneficiary’s life or health or ability to attain, maintain, or regain maximum function, the Contractor shall make an expedited authorization decision and provide notice as expeditiously as the beneficiary’s health condition requires, requires and no later than 72 hours after receipt of the request for service.. Exhibit A, Attachment I A1 Program Specifications

Appears in 1 contract

Samples: Intergovernmental Agreement

Expedited authorization decisions. a. 2.11.5.4.2.1. For cases in which a provider indicates, or the Contractor determines, that following the standard timeframe could seriously jeopardize the beneficiaryEnrollee’s life or health or ability to attain, maintain, or regain maximum function, the Contractor shall must make an expedited authorization decision and provide notice as expeditiously as the beneficiaryEnrollee’s health condition requires, requires and no later than 72 hours three (3) working days after receipt of the request for service.

Appears in 1 contract

Samples: clpc.ucsf.edu

Expedited authorization decisions. a. For cases in which a provider indicates, or the Contractor determines, that following the standard timeframe could seriously jeopardize the beneficiary’s life or health or ability to attain, maintain, or regain Exhibit A, Attachment I Program Specifications maximum function, the Contractor shall make an expedited authorization decision and provide notice as expeditiously as the beneficiary’s health condition requires, requires and no later than 72 hours after receipt of the request for service.

Appears in 1 contract

Samples: Intergovernmental Agreement

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