33-32-205. Corporate oversight of utilization review program. A health insurance issuer is responsible for:
(1) monitoring all utilization review activities carried out by or on behalf of the health insurance issuer;
(2) ensuring that all requirements of this part and rules adopted pursuant to this part are met; and
(3) ensuring that appropriate personnel have operational responsibility for the conduct of the health insurance issuer's utilization review program.
History: En. Sec. 1, Ch. 428, L. 2015.
Structure Montana Code Annotated
Title 33. Insurance and Insurance Companies
Chapter 32. Health Utilization Review
Part 2. Utilization Review -- Conduct
33-32-202. Commissioner not to approve or disapprove plans
33-32-205. Corporate oversight of utilization review program
33-32-206. Responsibility for contracted services
33-32-207. Health insurance issuer duties for utilization review
33-32-208. Operational requirements
33-32-209. and 33-32-210 reserved
33-32-211. Procedures for standard utilization review and benefit determinations -- notices
33-32-212. Procedures for expedited utilization review and benefit determinations