# N.D. Cent. Code § 26.1-36.12-07: 26.1-36.12-07. Prior authorization - Emergency medical condition

> North Dakota · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_ND_T26.1_C26.1-36.12_S26.1-36.12-07

## Section

- **Citation:** N.D. Cent. Code § 26.1-36.12-07
- **Heading:** 26.1-36.12-07. Prior authorization - Emergency medical condition
- **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 26.1-36.12-07

## Text

26.1-36.12-07. Prior authorization - Emergency medical condition

1. A prior authorization review organization may not require prior authorization for

prehospital transportation or for the provision of emergency health care services for an

emergency medical condition.

2. A prior authorization review organization shall allow an enrollee and the enrollee's

health care provider a minimum of two business days following an emergency

admission or provision of emergency health care services for an emergency medical

condition for the enrollee or health care provider to notify the prior authorization review

organization of the admission or provision of health care services.

3. The medical necessity or appropriateness of emergency health care services for an

emergency medical condition may not be based on whether those services were

provided by participating or nonparticipating providers.

4. If an enrollee receives an emergency health care service that requires immediate

postevaluation or poststabilization services, a prior authorization review organization

shall make an authorization determination within two business days of receiving a

request. If the authorization determination is not made within two business days, the

services must be deemed approved.

## 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_S26.1-36.12-07. Check the current official text before relying on it. Not legal advice.