Chapter 31.10.18 - Denials of Coverage Based on Medical Necessity

Section 31.10.18.01 - Scope
Section 31.10.18.02 - Definitions
Section 31.10.18.03 - Repealed
Section 31.10.18.04 - Health Advocacy Unit Information in Notice of Adverse Decision
Section 31.10.18.05 - Procedures for Emergency Cases
Section 31.10.18.06 - Establishment, Filing, and Reporting of Internal Grievance Process
Section 31.10.18.07 - Requirements for Internal Grievance Process
Section 31.10.18.08 - Time for Rendering Final Decisions Resulting from Internal Grievance Process
Section 31.10.18.09 - Repealed
Section 31.10.18.10 - Repealed
Section 31.10.18.11 - Demonstration of Compelling Reason to File Complaint
Section 31.10.18.12 - General Procedures for Complaints