Ill. Admin. Code tit. 50, pt. 4520 - MANAGED CARE REFORM & PATIENT RIGHTS
- § 4520.10 - Purpose
- § 4520.20 - Applicability and Scope
- § 4520.30 - Definitions
- § 4520.40 - Provision of Information
- § 4520.50 - Notice of Nonrenewal or Termination
- § 4520.60 - Transition of Services
- § 4520.70 - Health Care Services, Appeals, Complaints and External Independent Reviews
- § 4520.80 - Joint Resolution of Complaints - Department of Insurance and Department of Public Health - Notification and Resolution Process
- § 4520.90 - Record of Complaints
- § 4520.100 - Access and Quality of Care from Providers Without Primary Care Physician Referral or Authorization
- § 4520.110 - Emergency Services
- § 4520.120 - Post Stabilization Services
- § 4520.130 - Registration of Utilization Review Organizations
- § 4520.140 - Operational Requirements
- Exhibit A - Complaint Record and Column Descriptions, version 28
- Exhibit B - Application for Registration of a Utilization Review Organization (Repealed), version 14
- Exhibit C - Utilization Review Organization Officers and Directors Biographical Affidavit (Repealed), version 9
- Exhibit D - NAIC Utilization Review Organization Officers and Directors Biographical Affidavit (Repealed), version 6
Notes
AUTHORITY: Implementing the Managed Care Reform and Patient Rights Act [215 ILCS 134 ] and authorized by Section 401 of the Illinois Insurance Code [215 ILCS 5/401 ], 42 USC 300gg 22, and 45 CFR 150.101(b)(2) and 150.201.
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