Department of Revenue on the "35 day" rule

[canaguy27]

Technically, the 35 day rule has always been in place.

My understanding was it became in place because of 1284. Once you get the rec, under a20, that is all you need. Before 1284, the mmcs were operating like big caregivers. Now with the "mmcs," they have to have 35 days.

I'd love to get in trouble for dispensing medicine to a patient who hasn't received a denial in 35 days but eventually is denied.

Again, my understanding is that after 35 days you are automatically approved. They can't deny you. I would love to see a patient filet them on this.