Common use of Standard Service Authorizations Clause in Contracts

Standard Service Authorizations. Prior Authorization decisions for non-urgent services shall be made within fourteen (14) Calendar Days of receipt of the request for services. An extension may be granted for an additional fourteen (14) Calendar Days if the Member or the Provider requests an extension, or if the Contractor justifies to DCH a need for additional information and the extension is in the Member’s interest.

Appears in 7 contracts

Samples: Contract for Provision of Services (Centene Corp), Contract for Provision of Services (Amerigroup Corp), Contract (Wellcare Health Plans, Inc.)

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Standard Service Authorizations. Prior Authorization decisions for non-urgent services shall be made within fourteen (14) Calendar Days of receipt of the request for services. An extension may be granted for an additional fourteen (14) Calendar Days if the Member Member, P4HB Participant or the Provider requests an extension, or if the Contractor justifies to DCH a need for additional information and the extension is in the Member’s or P4HB Participant’s interest.

Appears in 2 contracts

Samples: Contract for Provision of Services (Wellcare Health Plans, Inc.), Contract (Centene Corp)

Standard Service Authorizations. Prior Authorization decisions for non-urgent services shall be made within fourteen (14) Calendar Days of receipt of the request for services. An extension may be granted for an additional fourteen (14) Calendar Days if the Member or the Provider requests an extension, or if the Contractor justifies to DCH a need for additional information and the extension is in the Member’s 's interest.. Revised 5/19/2008

Appears in 1 contract

Samples: Contract (Wellcare Health Plans, Inc.)

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Standard Service Authorizations. Prior Authorization decisions for non-non- urgent services shall be made within fourteen (14) Calendar Days of receipt of the request for services. An extension may be granted for an additional fourteen (14) Calendar Days if the Member Member, P4HB Participant or the Provider requests an extension, or if the Contractor justifies to DCH a need for additional information and the extension is in the Member’s or P4HB Participant’s interest.

Appears in 1 contract

Samples: Contract for Provision of Services

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