20 Miss. Code R. § 2-I

Current through June 25, 2024
Section 20-2-I - INTRODUCTION
A. Providers must restrict treatment to indications recognized by established medical practice that are adequately supported by the relevant medical literature.
B. Providers must demonstrate the effectiveness of previously provided treatment in order to repeat or continue it. This includes the use of pain diagrams and numerical pain scores where appropriate.
C. Payers and utilization review professionals must approve or deny treatment based on the rules within this section of the Fee Schedule without regard to external guidelines.
D. When denying care, the specific section of this Fee Schedule must be cited as the basis for denial. All denials must provide the rationale or the treatment will be approved.

20 Miss. Code. R. § 2-I

Amended 6/14/2017
Amended 6/15/2019