North Dakota § 26.1-36.12-02 Disclosure and review of prior authorization requirements

North Dakota Statutes

§ 26.1-36.12-02 — Disclosure and review of prior authorization requirements

North Dakota § 26.1-36.12-02

Title 26.1Insurance

Ch. 26.1-36.12Prior Authorization for Health Insurance

This text of North Dakota § 26.1-36.12-02 (Disclosure and review of prior authorization requirements) is published on Counsel Stack Legal Research, covering North Dakota primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

N.D. Cent. Code § 26.1-36.12-02 (2026).

Text

1.A prior authorization review organization shall make any prior authorization requirements and restrictions readily accessible on the organization's website to enrollees, health care professionals, and the general public. Requirements include the written clinical criteria and be described in detail using plain and ordinary language comprehensible by a layperson.

2.If a prior authorization review organization intends to implement a new prior authorization requirement or restriction, or amend an existing requirement or restriction, the prior authorization review organization shall:

a.Ensure the new or amended requirement is not implemented unless the prior authorization review organization's website has been updated to reflect the new or amended requirement or restriction; and

b.Provide

Free access — add to your briefcase to read the full text and ask questions with AI

1. A prior authorization review organization shall make any prior authorization
requirements and restrictions readily accessible on the organization's website to
enrollees, health care professionals, and the general public. Requirements include the
written clinical criteria and be described in detail using plain and ordinary language
comprehensible by a layperson.
2. If a prior authorization review organization intends to implement a new prior
authorization requirement or restriction, or amend an existing requirement or
restriction, the prior authorization review organization shall:
a. Ensure the new or amended requirement is not implemented unless the prior
authorization review organization's website has been updated to reflect the new
or amended requirement or restriction; and
b. Provide contracted health care providers of enrollees written notice of the new or
amended requirement or amendment no fewer than sixty days before the
requirement or restriction is implemented.