Common use of Behavioral Health Expedited Prior Authorization Clause in Contracts

Behavioral Health Expedited Prior Authorization. Assertive community treatment (ACT), intensive home-based treatment (IHBT), and substance use disorder (SUD) residential treatment (beginning with the third stay in a calendar year) shall be prior authorized as expeditiously as the member’s health condition requires but no later than 48 hours after receipt of the request in accordance with OAC rule 5160-26-03.1.

Appears in 13 contracts

Samples: Ohio Medical Assistance Provider Agreement for Managed Care Plan, Ohio Medical Assistance Provider Agreement for Managed Care Plan, Ohio Medical Assistance Provider Agreement for Managed Care Plan

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Behavioral Health Expedited Prior Authorization. Assertive community treatment (ACT), intensive home-based treatment (IHBT), ) and substance use disorder (SUD) residential treatment (beginning with the third stay in a calendar year) ), shall be prior authorized as expeditiously as the member’s health condition requires but no later than 48 hours after receipt of the request in accordance with OAC rule rules 5160-26-03.103.1 and 5160-58-01.1.

Appears in 12 contracts

Samples: The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan, The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan, The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan

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Behavioral Health Expedited Prior Authorization. Assertive community treatment (ACT), intensive home-home based treatment (IHBT), ) and substance use disorder (SUD) residential treatment (beginning with the third stay in a calendar year) ), shall be prior authorized as expeditiously as the member’s health condition requires but no later than 48 hours after receipt of the request in accordance with OAC rule rules 5160-26-03.103.1 and 5160-58-01.1.

Appears in 1 contract

Samples: The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan

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