; and (II) other requirements to promote the standardization and streamlining of electronic transactions under this part specified by the Secretary. (iii) Deadline for specification of additional requirements Not later than July 1, 2024, the Secretary shall finalize requirements described in clause (ii)(II). (C) Real-time decisions (i) In general Subject to clause (iv), the program described in subparagraph (A) shall provide for real-time decisions (as defined by the Secretary in accordance with clause (v)) by a Medicare Advantage plan with respect to prior authorization requests for applicable items and services identified by the Secretary pursuant to clause (ii) if such requests are submitted with all medical or other documentation required by such plan. (ii) Identification of items and services (I) In general For purposes of clause (i), the Secretary shall identify, not later than the date on which the initial announcement described in section 1853(b)(1)(B)(i) for the third plan year beginning after the date of the enactment of this subsection is required to be announced, applicable items and services for which prior authorization requests are routinely approved. (II) Updates The Secretary shall consider updating the applicable items and services identified under subclause (I) based on the information described in paragraph (3)(A)(i) (if available and determined practicable to utilize by the Secretary) and any other information determined appropriate by the Secretary not less frequently than biennially. The Secretary shall announce any such update that is to apply with respect to a plan year not later than the date on which the initial announcement described in section 1853(b)(1)(B)(i) for such plan year is required to be announced. (iii) Request for information The Secretary shall issue a request for information for purposes of initially identifying applicable items and services under clause (ii)(I). (iv) Exception for extenuating circumstances In the case of a prior authorization request submitted to a