Article 22a - UTILIZATION REVIEW
- Section 40-NEW - [Newly enacted section not yet numbered] [Effective 1/1/2028] [Prior authorization application programming interface]
- Section 40-22a01 - Utilization review organization act
- Section 40-22a02 - Same; purpose
- Section 40-22a03 - Same; definitions
- Section 40-22a04 - Utilization review organization act; standards; rules and regulations; certificate; conditions; annual fee; suspension or revocation of certificate
- Section 40-22a05 - Same; act not applicable to certain reviews and programs
- Section 40-22a06 - Same; certificate not required for certain review activities; certain provisions not applicable to certain organizations
- Section 40-22a07 - Same; unlawful acts; penalties; prior notification requirements, limitations on
- Section 40-22a08 - Same; examination by commissioner; expenses
- Section 40-22a09 - Same; written procedures for utilization review; patient information confidential
- Section 40-22a09a - Same; internal review procedure
- Section 40-22a10 - Same; patient information not subject to discovery or subpoena
- Section 40-22a11 - Same; rules and regulations
- Section 40-22a12 - Same; severability
- Section 40-22a13 - External review of adverse health care decisions; definitions
- Section 40-22a14 - Same; exceptions; review procedure; confidentiality
- Section 40-22a15 - Same; insurance commissioner's powers and duties; external review organizations, decisions, immunity from liability; fees, responsibility for
- Section 40-22a16 - Same; judicial review; limitation on duplicative reviews; contractual services; rules and regulations