• Issue with your policy. If your case involves a decision regarding part of your insurance contract or policy, the Department has 14 calendar days to give you a decision.
  • Question of medical necessity. If the medical necessity of your treatment is at issue, the Department has 21 days to provide you with a decision.[13]
  • Expedited external review. If you requested an expedited external review, the Department has 72 hours to provide you with a decision.[14]