33-32-206. Responsibility for contracted services. Whenever a health insurance issuer contracts with a utilization review organization or other entity to perform the utilization review functions required by this part or rules adopted pursuant to this part, the commissioner shall hold the health insurance issuer responsible for monitoring the activities of the utilization review organization or the entity with which the health insurance issuer has contracted and for ensuring that the requirements of this part are met.
History: En. Sec. 2, 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