Subpart P
UTILIZATION REVIEW STANDARDS
Sections
- § 22:1260.41 Definitions active
- § 22:1260.42 Documented prior authorization program; requirements active
- § 22:1260.43 Single utilization review per episode of care active
- § 22:1260.44 Timeframes for determinations; concurrent review; retrospective review; adverse determination active
- § 22:1260.45 Documentation active
- § 22:1260.46 Utilization review; determinations; appeals active
- § 22:1260.47 Prior authorization; denial of claims active
- § 22:1260.48 Reviews for fraud, waste, or abuse active