Part 14 - Benefit Determination and Utilization Review
- Section 230-RICR-20-30-14.1 - Authority
- Section 230-RICR-20-30-14.2 - Purpose and Scope
- Section 230-RICR-20-30-14.3 - Definitions
- Section 230-RICR-20-30-14.4 - General Requirements
- Section 230-RICR-20-30-14.5 - Delegate Requirements
- Section 230-RICR-20-30-14.6 - Benefit Determination General Requirements
- Section 230-RICR-20-30-14.7 - Internal Appeal and Reconsideration Requirements
- Section 230-RICR-20-30-14.8 - External Appeal of Non-Administrative Benefit Determinations Requirements
- Section 230-RICR-20-30-14.9 - Reporting
- Section 230-RICR-20-30-14.10 - Waiver of Requirements
- Section 230-RICR-20-30-14.11 - Variance Requirements
- Section 230-RICR-20-30-14.12 - Denial, Suspension, or Revocation of Certification
- Section 230-RICR-20-30-14.13 - Penalties and Enforcement
- Section 230-RICR-20-30-14.14 - Severability