Article 13 - TREATMENT GUIDELINES
- Section R20-5-1301 - Adoption and Applicability of the Article
- Section R20-5-1302 - Definitions
- Section R20-5-1303 - Provider Request for Preauthorization
- Section R20-5-1304 - Payer Denial of Request for Preauthorization
- Section R20-5-1305 - Payer Denial of Payment for Provided Treatment or Services
- Section R20-5-1306 - Payer Reversal of Decision to Deny Treatment or Services
- Section R20-5-1307 - Payer Decision, In Whole or In Part
- Section R20-5-1308 - Failure to Comply with Required Time Limits
- Section R20-5-1309 - Payer Decision on Request for Preauthorization
- Section R20-5-1310 - Payer Reconsideration on Request for Preauthorization
- Section R20-5-1311 - Administrative Review by Commission
- Section R20-5-1312 - Hearing Process