Part 5420 - MANAGED CARE REFORM AND PATIENT RIGHTS

  1. § 5420.10 - Purpose (Recodified)
  2. § 5420.20 - Applicability and Scope (Recodified)
  3. § 5420.30 - Definitions (Recodified)
  4. § 5420.40 - Provision of Information (Recodified)
  5. § 5420.50 - Notice of Nonrenewal or Termination (Recodified)
  6. § 5420.60 - Transition of Services (Recodified)
  7. § 5420.70 - Health Care Services, Appeals, Complaints and External Independent Reviews (Recodified)
  8. § 5420.80 - Joint Resolution of Complaints - Department of Insurance and Department of Public Health - Notification and Resolution Process (Recodified)
  9. § 5420.90 - Record of Complaints (Recodified)
  10. § 5420.100 - Access and Quality of Care from Providers Without Primary Care Physician Referral or Authorization (Recodified)
  11. § 5420.110 - Emergency Services (Recodified)
  12. § 5420.120 - Post Stabilization Services (Recodified)
  13. § 5420.130 - Registration of Utilization Review Organizations (Recodified)
  14. § 5420.140 - Operational Requirements (Recodified)
  15. Exhibit A - Description of Coverage - Cover Page (Repealed), version 30
  16. Exhibit B - Description of Coverage - Worksheet (Repealed), version 15
  17. Exhibit C - Complaint Record and Column Descriptions (Recodified), version 10
  18. Exhibit D - Application for Registration of a Utilization Review Organization (Recodified), version 7
  19. Exhibit E - Utilization Review Organization Officers and Directors Biographical Affidavit (Recodified), version 5
  20. Exhibit F - NAIC Utilization Review Organization Officers and Directors Biographical Affidavit (Recodified), version 4

Current through Register Vol. 46, No. 15, April 8, 2022

Notes

Emergency rules adopted at 23 Ill. Reg. 12466, effective September 27, 1999, for a maximum of 150 days; adopted at 24 Ill. Reg. 3374, effective February 10, 2000; amended at 24 Ill. Reg. 9429, effective July 1, 2000; amended at 28 Ill. Reg. 13711, effective September 28, 2004; amended at 30 Ill. Reg. 6368, effective March 29, 2006; amended at 34 Ill. Reg. 6879, effective April 29, 2010; amended at 38 Ill. Reg. 2253, effective January 2, 2014.

Amended at 38 Ill. Reg. 23431, effective 11/25/2014. Recodified from 50 Ill. Adm. Code 5420 to 50 Ill. Adm. Code 4520 at 41 Ill. Reg. 4982.

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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