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Ex. GA-049 Order Primary source read

Directive 20-EX-11

Reissuing Temporary Suspension of Certain Concurrent and Utilization Review Requirements

Insurance and Safety Fire Commissioner John F. King · Georgia (Sector regulator)

The COVID Project

The record

Jurisdiction
Georgia
Level
Sector regulator
Authority
O.C.G.A. Title 33; Governor's Public Health State of Emergency
Issued
2020-12-31 Dec. 31, 2020
Effective
2020-12-31
End
30 days (to Jan. 30, 2021), subject to further evaluation (read as 2021-01-30)
In force
Dec. 31, 2020 to Jan. 30, 2021
Quarters
2020 Q42021 Q1
Limitation types
Health care orders
Addressees
  • all insurers writing accident and health insurance and health benefit plans
  • utilization review agents
  • independent adjusters
Functions reached
  • IN insurer review functions
  • SX scheduled surgeries and admissions
  • IP hospital administration
Collection
Georgia GA

Operative words

Georgia hospitals are experiencing extreme demand due to the COVID-19 pandemic. Making the situation more dire, hospitals are also experiencing staff shortages.... certain utilization review and notification requirements should be suspended for 30 days from the date of this letter... 1. Suspension of Preauthorization Requirements for Scheduled Surgeries or Admissions at Hospitals... [insurers] should suspend preauthorization review for scheduled surgeries or admissions at hospitals for 30 days

Enforcement

Regulator's directive to licensees

Notes

In force on Dec. 31, 2020 and Jan. 1, 2021; part of the winter re-tightening record.