Services Requiring Prior Authorization

The Administrator shall issue prior authorization for elective or specialized surgical procedures, off Guam care and certain other services as follows: (a) prior authorization must be obtained prior to rendering of hospital services, except in emergency situations; and (b) all services requiring prior authorization from the Medically Indigent Program must be prescribed by a physician as medically necessary. SOURCE: Added by P.L. 25-163:2 (Sept. 21, 2000), repealed/reenacted by P.L. 27-030:2 (Sept. 30, 2003). 2017 NOTE: This section was originally added by P.L. 17-083:3 (Dec. 21, 1984), entitled “Application Requirements.” Repealed by P.L. 25-163:2 (Sept. 30, 2003) and recodified as 10 GCA § 2905(d).