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Ama Policy

Managed Care H-285.998

01/03/2022
State Medical Necessity Decisions-Deadlines, U.R. Criteria
Ama Policy

Approaches to Increase Payer Accountability H-320.968

03/05/2021
State Medical Necessity Decisions-Deadlines, U.R. Criteria
Ama Policy

Private Health Insurance Formulary Transparency H-125.979

12/30/2021
ERISA-Med. Nec. Decisions-Deadlines, Med. Adv.-Med. Nec. Decisions-Deadlines, State Medical Necessity Decisions-Deadlines
Ama Policy

Third Party Payer Quantity Limits H-185.942

08/29/2023
ERISA-Med. Nec. Appeals-Deadlines, ERISA-Med. Nec. Decisions-Deadlines, State Medical Necessity Appeals-Deadlines, State Medical Necessity Decisions-Deadlines, Step Therapy Override, U.R. Criteria
Ama Policy

Strengthening the Accountability of Health Care Reviewers D-185.977

08/30/2022
State Medical Necessity Decisions-Deadlines
Ama Policy

Promoting Accountability in Prior Authorization D-285.960

12/30/2021
State Medical Necessity Decisions-Deadlines, U.R. Criteria
State Law

Alabama State Board of Health Department of Public Health-Chapter 420-5-6. Health Maintenance Organizations

07/27/2023 Alabama Section 420-5-6-.06

Assurance Of Access To And Continuity Of Care

Network Adequacy, Prompt Payment Deadlines, State Medical Necessity Decisions-Deadlines
State Law

Code of Alabama 1975-Title 27-Chapter 3A. Health Care Service Utilization Review Act

07/27/2023 Alabama Section 27-3A-5

Standards for utilization review agents

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

Alaska Admin. Code-Title 3-Chapter 28-Article 10. Utilization Review and Benefit Determinations

07/27/2023 Alaska Section 28.912

Procedures for expedited utilization review and benefit determinations

State Medical Necessity Decisions-Deadlines
State Law

Alaska Admin. Code-Title 3-Chapter 28-Article 10. Utilization Review and Benefit Determinations

07/27/2023 Alaska Section 28.910

Procedures for standard utilization review and benefit determinations

Retroactive Denial, State Medical Necessity Decisions-Deadlines