{"data":{"id":"us-nj/n.j.-stat.-17b-30-55.9","jurisdiction":"us-nj","citation":"N.J. Stat. § 17B:30-55.9","heading":"Prior authorization, defined number, discrete services, set time frame, validity, exception.","body":"10.\tExcept where shorter time frames are necessary to monitor patient safety or treatment effectiveness and with notice to the treating provider, prior authorization for a service which includes a defined number of discrete services within a set time frame shall be valid for purposes of authorizing the health care provider to provide care for a period of 180 days from the date the provider receives the prior authorization and a payer shall not revoke, limit, condition or restrict a prior authorization within that period if (1) the covered person continues to be eligible for coverage; (2) the clinical information provided at the time the prior authorization request was made has not been misrepresented by the treating physician or covered person; and (3) there has not been a material change in the clinical circumstances or condition of the covered person.\nL.2023, c.296, s.10.","path":["TITLE 17B INSURANCE"],"source_url":"https://pub.njleg.state.nj.us/statutes/STATUTES-TEXT.zip","current_through":"P.L.2025, c.405, and J.R.22","vintage":"","retrieved_at":"2026-08-27T17:54:13Z","sha256":"2840aed05b70e4045acab6829703c38f9f900e1723d0c7bbf3f5798aa0d48465","source_id":"us-nj","stale":true,"prev":"us-nj/n.j.-stat.-17b-30-55.8","next":"us-nj/n.j.-stat.-17b-30-55.10"},"notice":"GroundRules: Original legal text. Not legal advice."}