In addition to the requirements of § 533.005, a contract between a managed care organization and the commission described by that section must require that, notwithstanding any other law, the organization review and issue determinations on prior authorization requests with respect to a recipient who is hospitalized at the time of the request according to the following time frames:
(1) within one business day after receiving the request, except as provided by Subdivisions (2) and (3);
(2) within 72 hours after receiving the request if the request is submitted by a provider of acute care inpatient services for services or equipment necessary to discharge the recipient from an inpatient facility; or
(3) within one hour after receiving the request if the request is related to poststabilization care or a life-threatening condition.

Text of section effective until April 01, 2025