Usufruct
R.S. 22:266

Medical necessity review ACTIVE

Every health maintenance organization shall assure full compliance with Subpart F of Part III of Chapter 4 of this Title, R.S. 22:1121 et seq., in establishing procedures for continuous review of quality of care, performance of providers, utilization of health services, facilities, and costs. The medical necessity review requirements and administrative treatment guidelines of the health maintenance organization shall not fall below the appropriate standard of care and shall not impinge upon the independent medical judgment of the treating health care provider. Nothing in this Section shall be construed to prevent a health maintenance organization from conducting a medical necessity review and quality assurance program.

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JSON Markdown Source (legis.la.gov)

References

Cited by

None.

History

  • enactment Acts 1986, No. 1065, §1
  • amendment Acts 1997, No. 238, §1, eff. June 16, 1997
  • amendment Acts 1997, No. 1324, §1
  • amendment Acts 1999, No. 401, §1, eff. Jan. 1, 2000
  • amendment Acts 2009, No. 503, §1

Section navigation

Cite R.S. 22:266

Bluebook
La. Rev. Stat. Ann. § 22:266 (2026).
Permalink
https://theusufruct.com/rs/title-22/section-266
BibTeX
@misc{larevstat-22-266,
  title        = {La. Rev. Stat. Ann. § 22:266},
  howpublished = {Louisiana Revised Statutes},
  year         = {2026},
  url          = {https://theusufruct.com/rs/title-22/section-266},
  note         = {Snapshot 2026-05-22}
}