Ill. Admin. Code tit. 50, § 4530.60 - Registration of Independent Review Organizations
a) On or after July 1, 2010, an independent
review organization may not conduct external reviews for persons subject to
Section 15 of the Act unless the independent review organization has registered
with the Director. An application for registration shall be in the format set
forth in Appendix D and must be signed by an officer or director of the
independent review organization. Initial registration applications shall be
deemed approved unless the Director finds an application to be noncompliant
with either the standards set forth in Section 55 of the Act or this
Part.
b) An independent review
organization must register with the Director every 2 years. A fee of $1,000
must be submitted with each application or renewal. If the Director determines
that there are no acceptable nationally recognized private accrediting entities
providing independent review organization accreditation, he or she may then
approve independent review organizations that are not accredited by a
nationally recognized private accrediting entity, in which case the fee for
each application or renewal shall be $1,500.
c) Any material changes in the information
filed pursuant to this Part shall be filed with the Director within 30 days
after the change. Loss of accreditation status will require re-registration and
payment of the appropriate fee pursuant to subsection (b).
d) Renewals and Appeals
1) A registered independent review
organization may continue to operate, if a renewal application as specified in
Appendix E and fee have been filed 30 days prior to the renewal date, until the
renewal is denied or issued by the Director .
2) If the renewal application and fee are not
received prior to the renewal date, the registration will automatically expire
and the independent review organization must re-register and pay a fee pursuant
to subsection (b).
3) If an
application for registration or renewal is denied under this Part, the
applicant may appeal the denial by requesting a hearing under the terms of
Article 10 of the Illinois Administrative Procedure Act [ 5 ILCS 100 /Art. 10]
and 50 Ill. Adm. Code 2402. A petition for hearing must be postmarked no later
than 30 days from the date of initial denial. A hearing shall be scheduled
within 45 days after the petition is filed with the Director . A decision by the
Director shall be rendered within 60 days after the close of the
hearing.
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