# N.D. Cent. Code § 26.1-36.12-02: 26.1-36.12-02. Disclosure and review of prior authorization requirements

> North Dakota · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_ND_T26.1_C26.1-36.12_S26.1-36.12-02

## Section

- **Citation:** N.D. Cent. Code § 26.1-36.12-02
- **Heading:** 26.1-36.12-02. Disclosure and review of prior authorization requirements
- **Jurisdiction:** North Dakota
- **Kind:** Statutes
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** ND Code / Title 26.1 / Chapter 26.1-36.12 / Section 26.1-36.12-02

## Text

26.1-36.12-02. Disclosure and review of prior authorization requirements

1. A prior authorization review organization shall make any prior authorization

requirements and restrictions readily accessible on the organization's website to

enrollees, health care professionals, and the general public. Requirements include the

written clinical criteria and be described in detail using plain and ordinary language

comprehensible by a layperson.

2. If a prior authorization review organization intends to implement a new prior

authorization requirement or restriction, or amend an existing requirement or

restriction, the prior authorization review organization shall:

a. Ensure the new or amended requirement is not implemented unless the prior

authorization review organization's website has been updated to reflect the new

or amended requirement or restriction; and

b. Provide contracted health care providers of enrollees written notice of the new or

amended requirement or amendment no fewer than sixty days before the

requirement or restriction is implemented.

## Nearby sections

- [N.D. Cent. Code § 26.1-36.12-01 26.1-36.12-01. Definitions](https://www.frixlaw.com/law-library/statutes/STATE_ND_T26.1_C26.1-36.12_S26.1-36.12-01.md)
- [N.D. Cent. Code § 26.1-36.12-02 26.1-36.12-02. Disclosure and review of prior authorization requirements](https://www.frixlaw.com/law-library/statutes/STATE_ND_T26.1_C26.1-36.12_S26.1-36.12-02.md)
- [N.D. Cent. Code § 26.1-36.12-03 26.1-36.12-03. Personnel qualified to make adverse determinations](https://www.frixlaw.com/law-library/statutes/STATE_ND_T26.1_C26.1-36.12_S26.1-36.12-03.md)
- [N.D. Cent. Code § 26.1-36.12-04 26.1-36.12-04. Personnel qualified to review appeals](https://www.frixlaw.com/law-library/statutes/STATE_ND_T26.1_C26.1-36.12_S26.1-36.12-04.md)
- [N.D. Cent. Code § 26.1-36.12-05 26.1-36.12-05. Prior authorization - Nonurgent circumstances](https://www.frixlaw.com/law-library/statutes/STATE_ND_T26.1_C26.1-36.12_S26.1-36.12-05.md)
- [N.D. Cent. Code § 26.1-36.12-06 26.1-36.12-06. Prior authorization - Urgent health care services](https://www.frixlaw.com/law-library/statutes/STATE_ND_T26.1_C26.1-36.12_S26.1-36.12-06.md)
- [N.D. Cent. Code § 26.1-36.12-07 26.1-36.12-07. Prior authorization - Emergency medical condition](https://www.frixlaw.com/law-library/statutes/STATE_ND_T26.1_C26.1-36.12_S26.1-36.12-07.md)
- [N.D. Cent. Code § 26.1-36.12-08 26.1-36.12-08. No prior authorization for medication-assisted treatment](https://www.frixlaw.com/law-library/statutes/STATE_ND_T26.1_C26.1-36.12_S26.1-36.12-08.md)
- [N.D. Cent. Code § 26.1-36.12-09 26.1-36.12-09. Retrospective denial](https://www.frixlaw.com/law-library/statutes/STATE_ND_T26.1_C26.1-36.12_S26.1-36.12-09.md)
- [N.D. Cent. Code § 26.1-36.12-10 26.1-36.12-10. Length of prior authorization](https://www.frixlaw.com/law-library/statutes/STATE_ND_T26.1_C26.1-36.12_S26.1-36.12-10.md)
- [N.D. Cent. Code § 26.1-36.12-11 26.1-36.12-11. Chronic or long-term care conditions](https://www.frixlaw.com/law-library/statutes/STATE_ND_T26.1_C26.1-36.12_S26.1-36.12-11.md)
- [N.D. Cent. Code § 26.1-36.12-12 26.1-36.12-12. Continuity of care for enrollees](https://www.frixlaw.com/law-library/statutes/STATE_ND_T26.1_C26.1-36.12_S26.1-36.12-12.md)
- [N.D. Cent. Code § 26.1-36.12-13 26.1-36.12-13. Failure to comply - Services deemed authorized](https://www.frixlaw.com/law-library/statutes/STATE_ND_T26.1_C26.1-36.12_S26.1-36.12-13.md)
- [N.D. Cent. Code § 26.1-36.12-14 26.1-36.12-14. Procedures for appeals of adverse determinations](https://www.frixlaw.com/law-library/statutes/STATE_ND_T26.1_C26.1-36.12_S26.1-36.12-14.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_ND_T26.1_C26.1-36.12_S26.1-36.12-02. Check the current official text before relying on it. Not legal advice.