N.J. Stat. § 17B:30-55.7

Current through L. 2024, c. 87.
Section 17B:30-55.7 - [Effective 1/1/2025] Prior authorization, chronic, long-term care condition, validity, exception, timeline

Except where shorter time frames are necessary to monitor patient safety or treatment effectiveness and with notice to the treating provider, if a payer requires prior authorization for a health care service for the treatment of a chronic or long-term care condition, the prior authorization shall remain valid for 180 days and the payer shall not require the covered person to obtain a prior authorization again for the health care service within the 180-day period.

N.J.S. § 17B:30-55.7

Added by L. 2023 , c. 296, s. 8, eff. 1/1/2025.