Extended Service Authorization Decision Timeline Clause Samples

Extended Service Authorization Decision Timeline i. The interdisciplinary team may extend the three (3) calendar day timeframe by up to five (5) additional calendar days for either of the following reasons: a) The participant, legal decision maker, or other requestor authorized under Article V.K.8.b. requests the extension, or b) The extension is in the participant’s interest because the IDT needs additional information from an individual not directly employed by the PO that may change the IDT’s decision to deny a service. The IDT must document the circumstances that led to the extension and how the delay is in the interest of the participant. ii. The IDT must notify the participant either orally or in writing when the IDT extends the timeline. The notice must explain the reason(s) for the delay and must be issued as expeditiously as the participant’s condition requires, but no later than 24 hours after the IDT decides to extend the timeline.
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