SUBCHAPTER A GENERAL PROVISIONS |
HTMLPDF | 284-43A-001 | Purpose and scope. |
HTMLPDF | 284-43A-010 | Definitions. |
SUBCHAPTER B CERTIFICATION AND REQUIREMENTS FOR INDEPENDENT REVIEW ORGANIZATIONS (IROs) |
HTMLPDF | 284-43A-020 | General requirements for certification. |
HTMLPDF | 284-43A-030 | Application for certification as an IRO. |
HTMLPDF | 284-43A-040 | Administrative processes and capabilities of IROs. |
HTMLPDF | 284-43A-050 | Conflict of interest. |
HTMLPDF | 284-43A-060 | Expert reviewers. |
HTMLPDF | 284-43A-070 | Independent review process. |
HTMLPDF | 284-43A-080 | Criteria and considerations for independent review determinations. |
HTMLPDF | 284-43A-090 | Additional requirements for experimental or investigational treatment reviews. |
HTMLPDF | 284-43A-100 | Ongoing requirements for IROs. |
HTMLPDF | 284-43A-110 | Powers of the commissioner. |
HTMLPDF | 284-43A-120 | Grounds for action against an applicant or a certified IRO. |
HTMLPDF | 284-43A-130 | Maximum fee schedule. |
SUBCHAPTER C REQUIREMENTS FOR CARRIERS IN USING INDEPENDENT REVIEW ORGANIZATIONS (IROs) |
HTMLPDF | 284-43A-140 | External review of adverse benefit determinations. |
HTMLPDF | 284-43A-150 | Independent review of adverse determinations. |