Section 59A-46-65 - Utilization review of mental health or substance use disorder servicesA. A carrier shall, at least monthly, review and update the carrier's utilization review process to reflect the most recent evidence and generally recognized standards of care.B. When performing a utilization review of mental health or substance use disorder services, including level of care placement, continued stay, transfer and discharge, a carrier shall apply criteria in accordance with generally recognized standards of care.C. A carrier shall provide utilization review training to staff and contractors undertaking activities related to utilization review.D. A carrier shall:(1) develop utilization review policies regarding quantitative and non-quantitative limitations for mental health or substance use disorder services coverage that are no more restrictive than the utilization review policies regarding quantitative and non-quantitative limitations for medical and surgical care; and(2) make utilization review policies available to providers or enrollees.Added by 2023, c. 114,s. 29, eff. 6/13/2023.