Chapter 19 - Minimum Standards for Utilization Review Agents Regulation
- Rule 19-3-19.01 - Title
- Rule 19-3-19.02 - Purpose
- Rule 19-3-19.03 - Definitions
- Rule 19-3-19.04 - Applicability and Scope
- Rule 19-3-19.05 - Definitions
- Rule 19-3-19.06 - Application for Certification
- Rule 19-3-19.07 - Renewal of Certification
- Rule 19-3-19.08 - Denial or Revocation of Certification and Penalty
- Rule 19-3-19.09 - Utilization Review Standards
- Rule 19-3-19.10 - Appeals of Determinations Not to Certify
- Rule 19-3-19.11 - Computation of Time
- Rule 19-3-19.12 - Urgent Prior Authorization Requests; Access to Physicians
- Rule 19-3-19.13 - Notification for Adverse Determinations/Form
- Rule 19-3-19.14 - Qualifications of persons reviewing appeals
- Rule 19-3-19.15 - Change of patient status to emergency status after submission of prior authorization request
- Rule 19-3-19.16 - Length of Approvals
- Rule 19-3-19.17 - Approvals for chronic conditions
- Rule 19-3-19.18 - Continuity of Prior Approvals
- Rule 19-3-19.19 - Revocations of prior authorizations
- Rule 19-3-19.20 - Standardized electronic prior authorizations
- Rule 19-3-19.21 - Reports to the Department
- Rule 19-3-19.22 - Prior Authorization Statistics
- Rule 19-3-19.23 - Enforcement and administration
- Rule 19-3-19.24 - Penalties
- Rule 19-3-19.25 - Severability
- Rule 19-3-19.26 - Effective Date