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This entry was published on 2021-12-31
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Certification of Agents and Utilization Review Process
Public Health (PBH) CHAPTER 45, ARTICLE 49
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CERTIFICATION OF AGENTS AND UTILIZATION REVIEW PROCESS
Section 4900. Definitions.

4901. Registration of utilization review agents.

4902. Utilization review program standards.

4903. Utilization review determinations.

4904. Appeal of adverse determinations by utilization review

agents.

4905. Required and prohibited practices.

4906. Waiver.

4907. Rights and remedies.

4908. Applicability to ERISA Plans.

4909. Prescription drug formulary changes.