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Definitions of “Screening” and “Medical Necessity” H-320.953

03/13/2019
Medical Necessity-Definition
State Law

Arizona Rev. Statutes-Title 20-Chapter 26-Article 1. General Provisions

07/28/2023 Arizona Section 20-3401

Definitions

Medical Necessity-Definition
State Law

Arkansas Code-Title 23-Subtitle 3-Chapter 99-Subchapter 11. Prior Authorization Transparency Act

07/10/2023 Arkansas Section 23-99-1103

Definitions

Medical Necessity-Definition, U.R. Criteria
State Law

Colorado Rev. Statutes-Title 10-Article 16-Part 1. General Provisions

02/02/2025 Colorado Section 10-16-112.5

Prior authorization for health care services – disclosures and notice – determination deadlines – criteria – limits and exceptions – definitions – rules – enforcement

Amendments, Medical Necessity-Definition, Retroactive Denial, State Medical Necessity Decisions-Deadlines, U.R. Criteria
State Law

General Statutes of Connecticut-Title 38a-Chapter 700c. Health Insurance

07/29/2023 Connecticut Section 38a-513c

Group health insurance policy to contain definition of “medically necessary” or “medical necessity”

Medical Necessity-Definition
State Law

Title 18. Insurance-1300-1301. Internal Review and Independent Utilization Review of Health Insurance Claims

07/21/2023 Delaware Part 1301 (Sections 1.0-14.0)

Internal Review and Independent Utilization Review of Health Insurance Claims

Anti-retaliation, Medical Necessity-Definition
State Law

Title 18. Insurance Code-Chapter 33. Health Insurance Contracts-Subchapter II. Pre-Authorization Transparency

08/01/2023 Delaware Section 3371

Definitions

Medical Necessity-Definition, U.R. Criteria
State Law

Delaware Code-Title 18-Chapter 35-Subchapter V. Pre-Authorization Transparency

08/01/2023 Delaware Section 3581

Definitions

Medical Necessity-Definition, Step Therapy Override, U.R. Criteria
State Law

Georgia Code-Title 33-Chapter 46-Certification of Private Review Agents. Article 1. General Provisions

08/01/2023 Georgia Section 33-46-2 through 33-46-4

Application; Legislative Purposes and Intent; Definitions

Medical Necessity-Definition, U.R. Criteria
State Law

Subtitle 120-2. Rules of Commissioner of Insurance – Chapter 120-2-58. Certification of Private Review Agents

09/27/2022 Georgia Sections 120-2-58-.02; 120-2-58-.05

Definitions; Requirements for Utilization Review.

Medical Necessity-Definition, State Medical Necessity Appeals-Deadlines, State Medical Necessity Decisions-Deadlines