Expedited Requests

The NGS PA OPD team will provide a decision notification to the OPD provider, the attending physician and the beneficiary within ten (10)-business days for both initial and resubmitted requests. The requester can submit for an expedited review of the PAR if it is determined that a delay could seriously jeopardize the beneficiary’s life, health, or ability to regain maximum function.  If the PA OPD team substantiates the need for an expedite decision, a decision will be communicated within 2-business days of receipt of the expedited request.  However, if medical documentation does not support an expedited process, the request will be subject to standard timeframe. 

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