Service Authorization Request means a Provider’s or Enrollee’s request to the Contractor for the provision of a service.

Service Authorization Request means a member’s initial or continuing request for the provision of a service including member requests made by their provider or the member’s authorized representative.

Service Authorization Request means a Provider’s or Enrollee’s request to the Contractor for the provision of a service. State Fiscal Year means twelve calendar months commencing on July 1 and ending on June 30 following or the 12-month period for which the State budgets funds. State Health Care Program means (1) a State plan approved under Title XIX of the Social Security Act, (2) any program receiving funds under Title V of the Social Security Act or from an allotment to a State under such title; (3) any program receiving funds under Title XX of the Social Security Act or from an allotment to a State under such title; or (4) a State child health plan approved under Title XXI of the Social Security Act. State Match means the current percentage of the state of Utah’s share of Medicaid expenditures as described by 42 CFR 433.10.

Examples of Service Authorization Request in a sentence

Form 470-3956, MR/CMI/DD Case Management Service Authorization Request, for services authorized before May 1, 2007.
In the case of a request for Medicaid covered home health care services following an inpatient admission, one (1) business day after receipt of necessary information; except when the day subsequent to the Service Authorization Request falls on a weekend or holiday, then seventy-two (72) hours after receipt of necessary information; but in any event, no more than three (3) business days after receipt of the Service Authorization Request.
If the Contractor denies a Service Authorization Request, or authorizes a requested service in an amount, duration or scope that is less than requested, the Contractor shall make the decision and give a Notice of Adverse Benefit Determination to the Enrollee as expeditiously as the Enrollee’s health condition requires it, but no later than 14 calendar days from receipt of the Service Authorization Request.
Fourteen (14) days after receipt of request for Service Authorization Request.
The Contractor shall require that any decision to deny a Service Authorization Request or to authorize a service in an amount, duration, or scope that is less than requested, be made by an individual who has appropriate expertise in addressing the Enrollee’s medical, behavioral health, or long-term services and supports needs.

More Definitions of Service Authorization Request

Service Authorization Request. A managed care member’s request for the provision of a service.

Service Authorization Request means a member's initial or continuing request for the provision of a service including member requests made by their provider or the member's authorized representative. ¶ (2456) "Type A Hospital" means a hospital identified by the Office of Rural Health as a Type A hospital. ¶ (2467) "Type B AAA" means an AAA administered by a unit or combination of units of general purpose local government for overseeing Medicaid, financial and adult protective services, and regulatory programs for the elderly or the elderly and disabled. ¶

Service Authorization Request means a request by an Enrollee for the provision of a medical service.

Service Authorization Request means a request for the provision of a service, including prior authorization and concurrent review, that requires authorization pursuant to 42 CFR 438.210.

Service Authorization Request means a Provider’s or Enrollee’s request to the Contractor for the provision of a service. Specialist means for purpose of this contract a dental professional acting within the scope of his license, who provides specialized oral health services. A specialist does not include pediatric dentists. State means the single state agency as specified in 42 CFR 431.10.

Service Authorization Request. An Enrollee’s request for the provision of a Covered Service.