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Section 58-17C-57 - Director authorized to promulgate rules--Scope of rules.

58-17C-57. Director authorized to promulgate rules--Scope of rules. The director may, after consultation with the secretary of the Department of Health, promulgate rules pursuant to chapter 1-26 to carry out the provisions of §§ 58-17C-34 to 58-17C-57, inclusive. The rules shall be designed to afford the public timely administration of utilization review and to assure that utilization review decisions are made in a fair and clinically acceptable manner. The rules may include the following:
(1) Definition of terms;
(2) Timing, form, and content of reports;
(3) Application of clinical criteria as it relates to utilization review;
(4) Written determinations; and
(5) Utilization review procedures.

Source: SL 1999, ch 243, § 25.

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