Chapter

Prior Authorization for Health Insurance

N.D. Cent. Code § 26.1-36.12-01— Definitions
N.D. Cent. Code § 26.1-36.12-02— Disclosure and review of prior authorization requirements
N.D. Cent. Code § 26.1-36.12-03— Personnel qualified to make adverse determinations
N.D. Cent. Code § 26.1-36.12-04— Personnel qualified to review appeals
N.D. Cent. Code § 26.1-36.12-05— Prior authorization - Nonurgent circumstances
N.D. Cent. Code § 26.1-36.12-06— Prior authorization - Urgent health care services
N.D. Cent. Code § 26.1-36.12-07— Prior authorization - Emergency medical condition
N.D. Cent. Code § 26.1-36.12-08— No prior authorization for medication-assisted treatment
N.D. Cent. Code § 26.1-36.12-09— Retrospective denial
N.D. Cent. Code § 26.1-36.12-10— Length of prior authorization
N.D. Cent. Code § 26.1-36.12-11— Chronic or long-term care conditions
N.D. Cent. Code § 26.1-36.12-12— Continuity of care for enrollees
N.D. Cent. Code § 26.1-36.12-13— Failure to comply - Services deemed authorized
N.D. Cent. Code § 26.1-36.12-14— Procedures for appeals of adverse determinations
N.D. Cent. Code § 26.1-36.12-15— Effect of change in prior authorization clinical criteria
N.D. Cent. Code § 26.1-36.12-16— Notification to claims administrator
N.D. Cent. Code § 26.1-36.12-17— Annual report to insurance commissioner