376.1359. Written utilization program implemented, filed with the director.
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/mo/chapter-376/376-1359A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
376.1359. Written utilization program implemented, filed with the director. — 1. A health carrier that conducts utilization review shall implement a written utilization review program that describes all review activities, both delegated and nondelegated, for covered services provided. The program document shall describe information as required by the director.
2. A health carrier shall file an annual report of its utilization review program activities with the director.
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(L. 1997 H.B. 335)