376.1367. When conducting utilization review or making a benefit determination for emergency services:
(1) A health carrier shall cover emergency services necessary to screen and stabilize an enrollee and shall not require prior authorization of such services;
(2) Coverage of emergency services shall be subject to applicable co-payments, coinsurance and deductibles;
(3) When an enrollee receives an emergency service that requires immediate post evaluation or post stabilization services, a health carrier shall provide an authorization decision within sixty minutes of receiving a request; if the authorization decision is not made within thirty minutes, such services shall be deemed approved.
(L. 1997 H.B. 335)
Missouri General Assembly