Standard authorization decisions. a. For standard authorization decisions, the Contractor shall provide notice as expeditiously as the beneficiary’s condition requires not exceed 14 calendar days following receipt of the request for service, with a possible extension of up to 14 additional calendar days when: i. The beneficiary, or the provider, requests extension; or ii. The Contractor justifies (to the Department upon request) a need for additional information and how the extension is in the beneficiary’s interest.
Appears in 14 contracts
Samples: Intergovernmental Agreement, Standard Agreement, Intergovernmental Agreement
Standard authorization decisions. a. For standard authorization decisions, the Contractor shall provide ensure notice is provided as expeditiously as the beneficiary’s condition requires requires, not to exceed 14 calendar days following receipt of the request for service, with a possible extension of up to 14 additional calendar days when:
i. The beneficiary, or the provider, requests extension; or
ii. The Contractor or subcontractor justifies (to the Department Department, upon request) a need for additional information and how the extension is in the beneficiary’s interest.
Appears in 9 contracts
Samples: Behavioral Health Services Agreement, Behavioral Health Services Agreement, Behavioral Health Services Agreement
Standard authorization decisions. a. For standard authorization decisions, the Contractor shall provide notice as expeditiously as the beneficiary’s condition requires requires, not to exceed 14 calendar days following receipt of the request for service, with a possible extension of up to 14 additional calendar days when:
i. The beneficiary, or the provider, requests extension; or.
ii. The Contractor justifies (to the Department Department, upon request) a need for additional information and how the extension is in the beneficiary’s interest.
Appears in 8 contracts
Samples: Direct Services to Public/ Subvention Aid, Intergovernmental Agreement, Amendment to STD 213
Standard authorization decisions. a. For standard authorization decisions, the Contractor shall provide notice as expeditiously as the beneficiary’s condition requires requires, not to exceed 14 calendar days following receipt of the request for service, with a possible extension of up to 14 additional calendar days when:
i. The beneficiary, or the provider, requests extension; or
ii. The Contractor justifies (to the Department Department, upon request) a need for additional information and how the extension is in the beneficiary’s interest.
Appears in 3 contracts
Samples: Intergovernmental Agreement, Intergovernmental Agreement, Intergovernmental Agreement
Standard authorization decisions. a. For standard authorization decisions, the Contractor shall provide notice as expeditiously as the beneficiary’s condition requires requires, not to exceed 14 calendar days following receipt of the request for service, with a possible extension of up to 14 additional calendar days when:
i. The beneficiary, or the provider, requests extension.; or
ii. The Contractor justifies (to the Department Department, upon request) a need for additional information and how the extension is in the beneficiary’s interest.
Appears in 1 contract
Samples: Standard Agreement Amendment