Ch. 36, § 9. Prior authorization

(a) Prior authorization of administrative transportation shall be governed by the prior authorization requirements of Chapter 3. (b) All administrative transportation requires prior authorization. (i) In deciding whether to authorize administrative transportation, the Department shall consider the: (A) Cost of the transportation; (B) Potential for over-utilization of the transportation; (C) Availability of lower cost alternatives; and (D) Excess payments owed by the client. (ii) The failure to obtain prior authorization shall result in denial of Medicaid reimbursement.