40-22a03. Same; definitions. For the purposes of this act:
(a) "Commissioner" means the commissioner of insurance.
(b) "Utilization review" means the evaluation of the necessity, appropriateness and efficiency of the use of health care services, procedures and facilities.
(c) "Utilization review organization" means any entity which conducts utilization review and determines certification of an admission, extension of stay or other health care service.
(d) "Health care provider" means a licensed medical care facility, a licensed health maintenance organization, or a person licensed or registered to engage in an occupation which renders health care services.
History: L. 1994, ch. 238, ยง 3; July 1.
Structure Kansas Statutes
Article 22a - Utilization Review
40-22a01 Utilization review organization act.
40-22a05 Same; act not applicable to certain reviews and programs.
40-22a07 Same; unlawful acts; penalties; prior notification requirements, limitations on.
40-22a08 Same; examination by commissioner; expenses.
40-22a09 Same; written procedures for utilization review; patient information confidential.
40-22a09a Same; internal review procedure.
40-22a10 Same; patient information not subject to discovery or subpoena.
40-22a11 Same; rules and regulations.
40-22a13 External review of adverse health care decisions; definitions.
40-22a14 Same; exceptions; review procedure; confidentiality.