# 18 Del. C. § 3376: §  3376. Effect and length of pre-authorization; limitation per episode of care [For application of this section, see 85 Del. Laws, c. 176,  4] > Delaware · Statutes · In force URL: https://www.frixlaw.com/law-library/statutes/STATE_DE_T18_C33_SII_S3376 ## Section - **Citation:** 18 Del. C. § 3376 - **Heading:** §  3376. Effect and length of pre-authorization; limitation per episode of care [For application of this section, see 85 Del. Laws, c. 176,  4] - **Jurisdiction:** Delaware - **Kind:** Statutes - **Status:** In force - **Text as of:** August 14, 2026 - **Source:** Compiled text - **Location:** Delaware Code / Title 18 / Chapter 33 / Subchapter II / Section 3376 ## Text (a) A pre-authorization for pharmaceuticals shall be valid for 1 year from the date the health-care provider receives the pre-authorization, subject to confirmation of continued coverage and eligibility and to policy changes validly delivered as per § 3372 of this title and except as otherwise set by evidence-based treatment protocol. (b) A pre-authorization for a health-care service shall be valid for a period of time that is reasonable and customary for the specific service, but no less than 90 days, from the date the health-care provider receives the pre-authorization, subject to confirmation of continued coverage and eligibility and to policy changes validly delivered as per § 3372 of this title. (c) Limitation per episode of care. — An insurer, health-benefit plan, or health-service corporation may not require more than 1 pre-authorization for an episode of care. Any new treatment or additional testing or procedures related o r unrelated to the specific medical problem, condition, or illness being managed may require a separate pre-authorization. (d) Pre-authorization of other covered services in-network. — If a utilization review entity gives pre-authorization of a health-care service as part of a group of services for which a bundled payment is charged, pre-authorization of all other covered health-care services provided by in-network providers included in the group is deemed to be approved. ## Nearby sections - [18 Del. C. § 3371 §  3371. Definitions [For application of this section, see 82 Del. Laws, c. 44,  3; 85 Del. Laws, c. 176,  4].](https://www.frixlaw.com/law-library/statutes/STATE_DE_T18_C33_SII_S3371.md) - [18 Del. C. § 3372 §  3372. Disclosure and review of pre-authorization requirements; adverse determinations [For application of this section, see 85 Del. Laws, c. 176,  4].](https://www.frixlaw.com/law-library/statutes/STATE_DE_T18_C33_SII_S3372.md) - [18 Del. C. § 3373 §  3373. Utilization review entity’s obligation with respect to pre-authorization [For application of this section, see 85 Del. Laws, c. 176,  4].](https://www.frixlaw.com/law-library/statutes/STATE_DE_T18_C33_SII_S3373.md) - [18 Del. C. § 3374 §  3374. Utilization review entity’s obligations with respect to pre-authorization concerning emergency health-care services.](https://www.frixlaw.com/law-library/statutes/STATE_DE_T18_C33_SII_S3374.md) - [18 Del. C. § 3375 §  3375. Retrospective denial.](https://www.frixlaw.com/law-library/statutes/STATE_DE_T18_C33_SII_S3375.md) - [18 Del. C. § 3376 §  3376. Effect and length of pre-authorization; limitation per episode of care [For application of this section, see 85 Del. Laws, c. 176,  4].](https://www.frixlaw.com/law-library/statutes/STATE_DE_T18_C33_SII_S3376.md) - [18 Del. C. § 3377 §  3377. Electronic standards for pre-authorization [For application of this section, see 85 Del. Laws, c. 176,  4].](https://www.frixlaw.com/law-library/statutes/STATE_DE_T18_C33_SII_S3377.md) - [18 Del. C. § 3378 §  3378. Health-care services deemed preauthorized if a utilization review entity fails to comply with the requirements of this subchapter.](https://www.frixlaw.com/law-library/statutes/STATE_DE_T18_C33_SII_S3378.md) - [18 Del. C. § 3379 §  3379. Waiver prohibited.](https://www.frixlaw.com/law-library/statutes/STATE_DE_T18_C33_SII_S3379.md) - [18 Del. C. § 3380 §  3380. Exemptions.](https://www.frixlaw.com/law-library/statutes/STATE_DE_T18_C33_SII_S3380.md) - [18 Del. C. § 3381 §  3381. Step therapy exception process [For application of this section, see 82 Del. Laws, c. 44,  3].](https://www.frixlaw.com/law-library/statutes/STATE_DE_T18_C33_SII_S3381.md) --- Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_DE_T18_C33_SII_S3376. Check the current official text before relying on it. Not legal advice.