# 18 Del. C. § 3585: § Â 3585. Retrospective denial

> Delaware · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_DE_T18_C35_SV_S3585

## Section

- **Citation:** 18 Del. C. § 3585
- **Heading:** § Â 3585. Retrospective denial
- **Jurisdiction:** Delaware
- **Kind:** Statutes
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Delaware Code / Title 18 / Chapter 35 / Subchapter V / Section 3585

## Text

The utilization review entity may not revoke, limit, condition or restrict a pre-authorization on ground of medical necessity after the date the health-care provider received the pre-authorization. Any language attempting to disclaim payment for services on the basis of changes to medical necessity that have been pre-authorized and delivered while under coverage shall be null and void. A proper notification of policy changes validly delivered as per § 3372 of this title may void a pre-authorization if received after pre-authorization but before delivery of the service.

## Nearby sections

- [18 Del. C. § 3581 § Â
        3581. Definitions [For application of this section, see 82 Del. Laws, c. 44, Â 3; 85 Del. Laws, c. 176, Â 4].](https://www.frixlaw.com/law-library/statutes/STATE_DE_T18_C35_SV_S3581.md)
- [18 Del. C. § 3582 § Â
        3582. Disclosure and review of pre-authorization requirements; adverse determinations. [For application of this section, see 85 Del. Laws, c. 176, Â 4].](https://www.frixlaw.com/law-library/statutes/STATE_DE_T18_C35_SV_S3582.md)
- [18 Del. C. § 3583 § Â
        3583. Utilization review entity’s obligations with respect to pre-authorizations [For application of this section, see 85 Del. Laws, c. 176,  4].](https://www.frixlaw.com/law-library/statutes/STATE_DE_T18_C35_SV_S3583.md)
- [18 Del. C. § 3584 § Â
        3584. 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_C35_SV_S3584.md)
- [18 Del. C. § 3585 § Â
        3585. Retrospective denial.](https://www.frixlaw.com/law-library/statutes/STATE_DE_T18_C35_SV_S3585.md)
- [18 Del. C. § 3586 § Â
        3586. Effect and length of pre-authorization; limitation per episode of care [For application of this section, see 85 Del. Laws, c. 176, Â 4].](https://www.frixlaw.com/law-library/statutes/STATE_DE_T18_C35_SV_S3586.md)
- [18 Del. C. § 3587 § Â
        3587. Electronic standards for pre-authorization [For application of this section, see 85 Del. Laws, c. 176, Â 4].](https://www.frixlaw.com/law-library/statutes/STATE_DE_T18_C35_SV_S3587.md)
- [18 Del. C. § 3588 § Â
        3588. 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_C35_SV_S3588.md)
- [18 Del. C. § 3589 § Â
        3589. Waiver prohibited.](https://www.frixlaw.com/law-library/statutes/STATE_DE_T18_C35_SV_S3589.md)
- [18 Del. C. § 3590 § Â
        3590. Exemptions.](https://www.frixlaw.com/law-library/statutes/STATE_DE_T18_C35_SV_S3590.md)
- [18 Del. C. § 3591 § Â
        3591. Step therapy exception process [For application of this section, see 82 Del. Laws, c. 44, Â 3].](https://www.frixlaw.com/law-library/statutes/STATE_DE_T18_C35_SV_S3591.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_DE_T18_C35_SV_S3585. Check the current official text before relying on it. Not legal advice.