Division 1 - UTILIZATION REVIEWS
- § 19.1701 - General Provisions
- § 19.1702 - Applicability
- § 19.1703 - Definitions
- § 19.1704 - Certification or Registration of URAs
- § 19.1705 - General Standards of Utilization Review
- § 19.1706 - Requirements and Prohibitions Relating to Personnel
- § 19.1707 - URA Contact with and Receipt of Information from Health Care Providers
- § 19.1708 - On-Site Review by a URA
- § 19.1709 - Notice of Determinations Made in Utilization Review
- § 19.1710 - Requirements Prior to Issuing an Adverse Determination
- § 19.1711 - Written Procedures for Appeal of Adverse Determinations
- § 19.1712 - URA's Telephone Access
- § 19.1713 - Confidentiality
- § 19.1714 - Regulatory Requirements Subsequent to Certification or Registration
- § 19.1715 - Administrative Violations
- § 19.1716 - Specialty URA
- § 19.1717 - Independent Review of Adverse Determinations
- § 19.1718 - Preauthorization for Health Maintenance Organizations and Preferred Provider Benefit Plans
- § 19.1719 - Verification for Health Maintenance Organizations and Preferred Provider Benefit Plans
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.