Current through Acts 2023-2024, ch. 1069
Section 56-7-1019 - Complex rehabilitation technology (CRT) prior authorizations - Section definitions(a) Notwithstanding § 56-7-1018, a health insurance entity that offers health insurance coverage of complex rehabilitation technology (CRT) or manual wheelchairs shall not require a prior authorization for repairs of such technology or equipment unless: (1) The repairs are covered under a manufacturer's warranty;(2) The cost of the repairs exceeds the cost to replace the CRT or manual wheelchair; or(3) The CRT or manual wheelchair in need of repair is subject to replacement because the age of the CRT or manual wheelchair exceeds, or is within one (1) year of the expiration of, the recommended lifespan of the CRT or manual wheelchair.(b) As used in this section: (1) "Complex rehabilitation technology" has the same meaning as defined in § 71-5-159;(2) "Health insurance coverage" has the same meaning as defined in § 56-7-109; and(3) "Health insurance entity" has the same meaning as defined in § 56-7-109.