Standards for utilization review performance modified, cause of action created for wrongful denials of prior authorizations by utilization review organizations, attorney general enforcement provided, fines by commissioner of commerce authorized, and oversight required.
Standards for utilization review performance modified, cause of action for wrongful denials of prior authorizations by utilization review organizations or their reviewing physicians created, and attorney general enforcement provided.
A bill for an act relating to utilization review organizations, prior authorizations and exemptions, medical billing, and independent review organizations.
Payment rates established for certain substance use disorder treatment services, and vendor eligibility recodified for payments from the behavioral health fund.