15 Miss. Code R. § 16-1-51.40.3

Current through June 25, 2024
Rule 15-16-1-51.40.3

The written plan shall include at least the following:

1. a delineation of the responsibilities and authority of those involved in utilization review activities, including members of the professional staff, the utilization review committees, the administration, and when applicable, any qualified outside organization contracted to perform review activities;
2. a conflict of interest policy applicable to everyone involved in utilization review activities;
3. a confidentiality policy applicable to all utilization review activities and to resultant findings and recommendations;
4. a description of the method(s) used to identify utilization-related problems;
5. the procedures for conducting concurrent review; and
6. a mechanism for initiating discharge planning.

15 Miss. Code. R. § 16-1-51.40.3

Miss. Code Ann. § 43-11-13