Section 3583 - Utilization review entity's obligations with respect to pre-authorizations in non-emergency circumstances(a) If a utilization review entity requires pre-authorization of a pharmaceutical, the utilization review entity must complete its process or render an adverse determination and notify the covered person's health care provider within 2 business days of obtaining a clean pre-authorization or of using services described in § 3377 of this title.(b) If a utilization review entity requires pre-authorization of a health care service, the utilization review entity must grant a pre-authorization or issue an adverse determination and notify the covered person's health care provider of the determination within 8 business days of receipt of a clean pre-authorization not submitted through electronic pre-authorization. For purposes of this subsection, a clean pre-authorization includes the results of any face-to-face clinical evaluation or second opinion that may be required.(c) If a utilization review entity requires pre-authorization of a health care service, the utilization review entity must grant a pre-authorization or issue an adverse determination and notify the covered person's health care provider of the determination within 5 business days of receipt of a clean pre-authorization through electronic pre-authorization. For purposes of this subsection, a clean pre-authorization includes the results of any face-to-face clinical evaluation or second opinion that may be required.Added by Laws 2015, ch. 310,s 2, eff. 1/1/2017.