Length Of Prior Authorization

(1) A certification by a utilization review organization approving health care services is valid for at least 6 months from the date the health care provider receives the certification unless the covered person loses coverage under the applicable health plan or health insurance coverage or unless a shorter duration is warranted by the United States food and drug administration guidance or other patient safety concerns. (2) A certification by a utilization review organization approving a health care service for treatment of a chronic condition is valid for 12 months, unless a shorter duration is warranted by the United States food and drug administration's guidance or other patient safety concerns.