Reversed Expedited Appeal Decisions. (A) If the Contractor or State Fair Hearing officer reverses a decision to deny, limit, or delay services that were not furnished while the expedited Appeal or State Fair Hearing was pending, the Contractor shall authorize or provide the disputed services promptly and as expeditiously as the Enrollee’s health condition requires, but no later than 72 hours from the date the Contractor receives notice reversing the determination.
Appears in 7 contracts
Samples: medicaid.utah.gov, medicaid.utah.gov, medicaid.utah.gov
