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§ 33-20A-30. Short Title - This article shall be known and may be cited as...
§ 33-20A-31. Definitions - As used in this article, the term: (1.1) “Department” means...
§ 33-20A-32. Right to Appeal - An eligible enrollee shall be entitled to appeal to an...
§ 33-20A-33. Minimum Expense of Treatment Prior to Review - Except where required pursuant to Code Section 51-1-49, a proposed...
§ 33-20A-34. Representatives for Enrollee; Cost of Review; Cooperation - History. Code 1981, § 33-20A-34 , enacted by Ga. L....
§ 33-20A-35. Request for Independent Review - History. Code 1981, § 33-20A-35 , enacted by Ga. L....
§ 33-20A-36. Additional Information Required for Independent Review - Upon request, the managed care entity shall provide a copy...
§ 33-20A-37. Effect of Favorable Determinations - History. Code 1981, § 33-20A-37 , enacted by Ga. L....
§ 33-20A-38. Organizational and Employee Liability - Neither an independent review organization nor its employees, agents, or...
§ 33-20A-39. Certification of Independent Review Organizations; Conflict of Interest; Quality Assurance Mechanism; Copies of Nonproprietary Information - History. Code 1981, § 33-20A-39 , enacted by Ga. L....
§ 33-20A-40. Determining Medical Necessity or Whether a Treatment Is Experimental - For either determination, the expert reviewer shall apply prudent professional...
§ 33-20A-41. Rules and Regulations - The department shall provide necessary rules and regulations for the...
§ 33-20A-42. Grievance Procedures and Hearings for Medicaid Care Management Members - Medicaid care management members shall, after first exhausting the grievance...