Delaware prior authorization laws (2026)
General reference compiled from public statutes and the AMA state-law chart. This is not legal advice. Statutes change; confirm the current law before relying on it.
Decision deadlines
Prior authorization (State-regulated health plans)
Standard decision: 2 business_days. Expedited: 24 hours.
Delaware HB 381 (2016) · sourcePatient-protection mandates
Retrospective Denial Prohibition
A plan cannot revoke, limit, condition, or restrict a PA on medical-necessity grounds after the provider received the authorization.
Delaware HB 381 (2016) · sourceFrequently asked questions
How long does an insurer have to decide a prior authorization in Delaware?
Under Delaware HB 381 (2016), a standard prior authorization decision is generally due within 2 business_days, and an expedited decision within 24 hours. Confirm the current statute, as timeframes vary by plan type.
What prior authorization patient protections does Delaware have?
Delaware law includes retrospective denial prohibition. Each is grounded in a specific statute (see above).
Other states
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