Georgia 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: 15 calendar_days. Expedited: 72 hours.
GA Code Ann. § 33-64-8 (SB 80) · sourcePatient-protection mandates
Retrospective Denial Prohibition
A plan may not revoke, limit, condition, or restrict a PA (except for Schedule II controlled substances).
GA Code Ann. § 33-64-8 (SB 80) · sourceFrequently asked questions
How long does an insurer have to decide a prior authorization in Georgia?
Under GA Code Ann. § 33-64-8 (SB 80), a standard prior authorization decision is generally due within 15 calendar_days, and an expedited decision within 72 hours. Confirm the current statute, as timeframes vary by plan type.
What prior authorization patient protections does Georgia have?
Georgia law includes retrospective denial prohibition. Each is grounded in a specific statute (see above).
Other states
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