---
title: O.C.G.A. § 33-46-26. Timely notification of prior authorization or adverse determination.
collection: code
id: 33-46-26
cite_as: O.C.G.A. § 33-46-26 (2025)
canonical_url: https://georgiacommons.org/code/33-46-26
md_url: https://georgiacommons.org/code/33-46-26.md
text_url: https://georgiacommons.org/code/33-46-26/text
source_url: https://www.legis.ga.gov/api/document/docs/default-source/joint-features-document-library/t33-ch23-66-(v25)-pdf.pdf?sfvrsn=e52ed458_0#page=154
date: 2025
status: active
corpus_version: 2025-supplement-89aa39ab3c68
license: CC0-1.0
publisher: Georgia Commons, an independent project of Georgia Civic Data. Not the State of Georgia. Not legal advice.
up: https://georgiacommons.org/code/33-46.md
previous: https://georgiacommons.org/code/33-46-25.md
next: https://georgiacommons.org/code/33-46-27.md
index: https://georgiacommons.org/code/index.md
version: the only printed version
in_force: true
current_through: Including Acts of the 2025 Regular Session of the General Assembly
heading_path: INSURANCE / CERTIFICATION OF PRIVATE REVIEW AGENTS / PRIOR AUTHORIZATIONS
---

# O.C.G.A. § 33-46-26. Timely notification of prior authorization or adverse determination.

Effective January 1, 2022, until December 31, 2022, if an insurer requires prior authorization of a healthcare service, a private review agent or utilization review entity shall notify the covered person’s healthcare provider, or such provider’s appropriately qualified designee, of any prior authorization or adverse determination within 15 calendar days of obtaining all necessary information to make such authorization or adverse determination. Effective January 1, 2023, if an insurer requires prior authorization of a healthcare service, a private review agent or utilization review entity shall notify the covered person’s healthcare provider, or such provider’s appropriately qualified designee, of any prior authorization or adverse determination within 7 calendar days of obtaining all necessary information to make such authorization or adverse determination.

## History

Code 1981, § 33-46-26, enacted by Ga. L. 2021, p. 629, § 2/SB 80.