33-32-107. Length of prior authorization, MCA

Montana Code Annotated 2025

TITLE 33. INSURANCE AND INSURANCE COMPANIES

CHAPTER 32. HEALTH UTILIZATION REVIEW

Part 1. General Provisions

Length Of Prior Authorization

33-32-107. Length of prior authorization. (1) A certification by a utilization review organization approving health care services is valid for at least 6 months from the date the health care provider receives the certification unless the covered person loses coverage under the applicable health plan or health insurance coverage or unless a shorter duration is warranted by the United States food and drug administration guidance or other patient safety concerns.

(2) A certification by a utilization review organization approving a health care service for treatment of a chronic condition is valid for 12 months, unless a shorter duration is warranted by the United States food and drug administration's guidance or other patient safety concerns.

History: En. Sec. 7, Ch. 470, L. 2019; amd. Sec. 4, Ch. 274, L. 2025.