(b) Notwithstanding subsection (a) of this section, in lieu of the
external appeal process as set forth in this article, a health care plan
and a facility licensed pursuant to article twenty-eight of the public
health law may agree to an alternative dispute resolution mechanism to
resolve disputes otherwise subject to this article.
Structure New York Laws
Article 49 - Utilization Review and External Appeal
Title 1 - Registration of Agents and Review Process
4901 - Reporting Requirements for Utilization Review Agents.
4902 - Utilization Review Program Standards.
4903 - Utilization Review Determinations.
4903-A - Utilization Review Determinations for Medically Fragile Children.
4904 - Appeal of Adverse Determinations by Utilization Review Agents.
4905 - Required and Prohibited Practices.