Article 1.2: Utilization Review Standards and Appeals

This article is comprised of the following sections:

§32.1-137.10 Utilization review plan required
§32.1-137.11 Accessibility of utilization review entity
§32.1-137.12 Emergencies; extensions; access to and confidentiality of patient-specific medical records and information
§32.1-137.13 Adverse determination
§32.1-137.14 Reconsideration of adverse determination
§32.1-137.15 Adverse determination; appeal
§32.1-137.16 Records
§32.1-137.17 Limitation on Commissioner&#8217;s jurisdiction
§32.1-137.7 Definitions
§32.1-137.8 Application to and compliance by utilization review entities
§32.1-137.9 Requirements and standards for utilization review entities
