Division 1 - UTILIZATION REVIEWS
- Section 19.1701 - General Provisions
- Section 19.1702 - Applicability
- Section 19.1703 - Definitions
- Section 19.1704 - Certification or Registration of URAs
- Section 19.1705 - General Standards of Utilization Review
- Section 19.1706 - Requirements and Prohibitions Relating to Personnel
- Section 19.1707 - URA Contact with and Receipt of Information from Health Care Providers
- Section 19.1708 - On-Site Review by a URA
- Section 19.1709 - Notice of Determinations Made in Utilization Review
- Section 19.1710 - Requirements Prior to Issuing an Adverse Determination
- Section 19.1711 - Written Procedures for Appeal of Adverse Determinations
- Section 19.1712 - URA's Telephone Access
- Section 19.1713 - Confidentiality
- Section 19.1714 - Regulatory Requirements Subsequent to Certification or Registration
- Section 19.1715 - Administrative Violations
- Section 19.1716 - Specialty URA
- Section 19.1717 - Independent Review of Adverse Determinations
- Section 19.1718 - Preauthorization for Health Maintenance Organizations and Preferred Provider Benefit Plans
- Section 19.1719 - Verification for Health Maintenance Organizations and Preferred Provider Benefit Plans