Common use of Authorization Requirements Clause in Contracts

Authorization Requirements. Section 3.7 of the Agreement is amended by striking the existing language and substituting the following language: “Authorization Requirements. With the exception of Emergency Services, Medical Group must request authorization for MHSA Health Services from USBHPC by telephone prior to providing any services to a Member. Emergency Services shall not be subject to prior authorization. Medical Group shall make reasonable efforts to inform USBHPC of the delivery of Emergency Services to a Member within a reasonable time frame after delivery of such services. All requests for prior authorization shall be made by Medical Group and administered by USBHPC in accordance with the terms and conditions of the applicable Member Benefit Contract. All MHSA Services, except Emergency Services as noted above, provided to Members by Medical Group must be prior authorized by USBHPC or its designee, which shall be confirmed by USBHPC in writing. This expressly includes, but is not limited to, psychological testing services.”

Authorization Requirements. Section 3.7 of the Agreement is amended by striking the existing language and substituting the following language: “Authorization Requirements. With the exception of Emergency Services, Medical Group Provider must request authorization for MHSA Health Services from USBHPC by telephone prior to providing any services to a Member. Emergency Services shall not be subject to prior authorization. Medical Group Provider shall make reasonable efforts to inform USBHPC of the delivery of Emergency Services to a Member within a reasonable time frame after delivery of such services. All requests for prior authorization shall be made by Medical Group Provider and administered by USBHPC in accordance with the terms and conditions of the applicable Member Benefit Contract. All MHSA Services, except Emergency Services as noted above, provided to Members by Medical Group Provider must be prior authorized by USBHPC or its designee, which shall be confirmed by USBHPC in writing. This expressly includes, but is not limited to, psychological testing services.”