S.L. 528.3 Art. 10Healthcare subject to prior authorisation.

(1) No insured person seeking to exercise his rights under these regulations shall be required to seek prior authorisation for the treatment sought save under the following circumstances:

(a) if it involves hospital accommodation of the patient in question for at least one night; or

(b) if it requires use of highly specialised and cost-intensive medical infrastructure or medical equipment; or

(c) if it involves treatments presenting a particular risk for the patient or the population, or

(d) if it is provided by a healthcare provider that could give rise to serious and specific concerns relating to the quality or safety of the care, with the exception of healthcare which is subject to European Union legislation ensuring a minimum level of safety and quality throughout the European Union.

(2) For the purpose of this regulation, the Directorate for Policy in Health shall publish a list of procedures which shall be known as the List of Procedures Requiring Prior Authorisation for Cross-Border Healthcare, and which may be updated from time to time, that require prior authorisation under sub-regulation (1).