Iowa Admin. Code r. 191-76.11

Current through Register Vol. 47, No. 11, December 11, 2024

Rule 191-76.11 - Penalties

(1)Independent review organizations. The commissioner may withdraw the approval of an independent review organization for any of the following reasons:

a. Failure to maintain the minimum standards set forth in Iowa Code sections 514J111. and 514J112. or in subrule 76.9(1).

b. Failure to comply with any of the requirements in subrules 76.9(2) through 76.9(5) or rule 191-76.10 (514J).

c. Failure to meet any time requirements for conducting a standard, an experimental or investigational, or an expedited external review.

d. Failure to comply with any other requirements set forth in this chapter or in Iowa Code chapter 514J.

(2)Health carriers.

a. Failure to comply with any of the provisions of this chapter is a violation of Iowa Code chapter 507B.

b. The commissioner may require a health carrier to provide additional time for a covered person to request an external review or submit documentation if the health carrier failed to comply with any part of Iowa Code chapter 514J or of this chapter.

c. The commissioner may order restitution or take other corrective action pursuant to Iowa Code section 5058(10)..

Iowa Admin. Code r. 191-76.11

Adopted by IAB June 22, 2016/Volume XXXVIII, Number 26, effective 7/27/2016