Article 2 - HEALTH CARE APPEALS
- Section 20-2530 - Definitions
- Section 20-2531 - Applicability; requirements; exception
- Section 20-2532 - [Effective Until 1/1/2025] Utilization review standards and criteria; requirements
- Section 20-2532 - [Effective 1/1/2025] Utilization review standards and criteria; requirements
- Section 20-2533 - [Effective Until 1/1/2025] Denial; levels of review; disclosure; additional time after service by mail; review process
- Section 20-2533 - [Effective 1/1/2025] Denial; levels of review; disclosure; additional time after service by mail; review process
- Section 20-2534 - [Effective Until 1/1/2025] Expedited medical review; expedited appeal
- Section 20-2534 - [Effective 1/1/2025] Expedited medical review; expedited appeal
- Section 20-2535 - [Effective Until 1/1/2025] Informal reconsideration
- Section 20-2535 - [Effective 1/1/2025] Initial appeal
- Section 20-2536 - [Effective Until 1/1/2025] Formal appeal
- Section 20-2536 - [Effective 1/1/2025] Voluntary internal appeal
- Section 20-2537 - [Effective Until 1/1/2025] [See Note for Conditional Repeal] External independent review; expedited external independent review
- Section 20-2537 - [Effective 1/1/2025] [See Note for Conditional Repeal] External independent review; expedited external independent review
- Section 20-2538 - Independent review organizations
- Section 20-2539 - Rules
- Section 20-2540 - Health care appeals fund
- Section 20-2541 - Health care insurer fee
- Section 20-2542 - [Effective 1/1/2025] Recordkeeping