376.1359. Written utilization program implemented, filed with the director. - Missouri Statutes

Written utilization program implemented, filed with the director.

376.1359. 1. A health carrier that conducts utilization review shallimplement a written utilization review program that describes all reviewactivities, both delegated and nondelegated, for covered services provided.The program document shall describe information as required by thedirector.

2. A health carrier shall file an annual report of its utilizationreview program activities with the director.

(L. 1997 H.B. 335)