Chapter 27-18.9. Benefit Determination and Utilization Review Act
Section
27-18.9-1Purpose of chapter.27-18.9-2Definitions.27-18.9-3Certification and recertification of review agents.27-18.9-4Application requirements.27-18.9-5Administrative and non-administrative benefit determination procedural requirements.27-18.9-6Non-administrative benefit determination notifications.27-18.9-7Internal appeal procedural requirements.27-18.9-8External appeal procedural requirements.27-18.9-9Reporting requirements.27-18.9-10Rules and regulations.27-18.9-11Waiver of requirements.27-18.9-12Variance of statutory requirements.27-18.9-13Denial, suspension, or revocation of certificate — Penalties.27-18.9-14Penalties and enforcement.27-18.9-15Severability.27-18.9-16Prior authorization reduction and improvement. [Expires October 1, 2028]