Oklahoma § 36-6570.7 - Services not requiring prior authorization — Time frame

§ 36-6570.7. Services not requiring prior authorization — Time frame

to notify utilization review entity of such services.

A. A utilization review entity shall not require prior

authorization for pre-hospital transportation, for the provision of

emergency health care services, or for transfers between facilities

as required by the Emergency Medical Treatment and Active Labor Act.

B. A utilization review entity shall allow an enrollee and the

enrollee's health care provider a minimum of twenty-four (24) hours

following an emergency admission or provision of emergency health

care services for the enrollee or health care provider to notify the

utilization review entity of the admission or provision of health

care services. If the admission or health care service occurs on a

holiday or weekend, a utilization review entity cannot require

notification until the next business day after the admission or

provision of the health care services.

C. A utilization review entity shall cover emergency health

care services in accordance with the requirements of Section 6907 of

Title 36 of the Oklahoma Statutes.

Added by Laws 2024, c. 303, § 8, eff. Jan. 1, 2025.