How many days do you have to respond to a request for medical treatment?

• A. Seven days
• B. Five days
• C. Ten days
• D. Fourteen days

Answer: (A)

Seven days is the standard window to respond to a medical treatment request in California Self‑Insurance Plans. This timeframe ensures timely access to care and helps prevent unnecessary delays in authorizing necessary treatment. When a request is made, the plan should issue a determination within seven days—approving, requesting additional information to make a proper decision, or denying with reasons. If more information is needed, the plan should specify exactly what is required and provide a reasonable follow-up deadline, but the goal remains to resolve the request within that seven‑day period. For emergencies, treatment should be provided promptly regardless of the clock. The other day-count options don’t reflect the SIP’s established seven‑day processing standard.