| (a) A URA must have appropriate personnel reasonably
available by toll-free telephone at least 40 hours per week during
normal business hours in both Central Time and Mountain Time, to discuss
an injured employee's care and to respond to telephone review requests.
(b) A URA must have procedures that the URA will implement
when responding to requests for:
(1) drugs that require preauthorization, in situations
in which the injured employee has received or is currently receiving
the requested drugs and an adverse determination could lead to a medical
emergency; and
(2) post-stabilization care and pain management medication
immediately subsequent to surgery or emergency treatment, as requested
by the treating physician or provider of record.
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