Requires that a contract between an insurer and a hospital shall include a provision that provides for medical records requested by the insurer or its utilization review agent to be made available electronically by the hospital; limits the use of disclosed records.
Requires that a contract between an insurer and a hospital shall include a provision that provides for medical records requested by the insurer or its utilization review agent to be made available electronically by the hospital; limits the use of disclosed records.
Relates to utilization review program standards; requires use of evidence-based and peer reviewed clinical review criteria; relates to prescription drug formulary changes and pre-authorization for certain health care services.
Relates to utilization review program standards; requires use of evidence-based and peer reviewed clinical review criteria; relates to prescription drug formulary changes and pre-authorization for certain health care services.
Hospitals and nursing homes; licensure and inspection fees.
Hospitals and nursing homes; licensure and inspection fees.
CON; remove health services and all facilities except nursing homes, home health and long-term care hospitals from requirement for.
Health Insurance - Utilization Review - Revisions
Health Insurance - Utilization Review - Revisions
Health Insurance - Utilization Review - Private Review Agents