Utilization Review Standards and Appeals

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This is Article 1.2 of the Code of Virginia, titled “Utilization Review Standards and Appeals.” It is part of Chapter 5 “Regulation of Medical Care Facilities and Services”, which is part of Title 32.1 “Health”.

It’s comprised of the following 11 sections.

§ 32.1-137.10	Utilization review plan required
§ 32.1-137.11	Accessibility of utilization review entity
§ 32.1-137.12	Emergencies; extensions; access to and confidentiality of patient-specific medical records and information
§ 32.1-137.13	Adverse determination
§ 32.1-137.14	Reconsideration of adverse determination
§ 32.1-137.15	Adverse determination; appeal
§ 32.1-137.16	Records
§ 32.1-137.17	Limitation on Commissioner's jurisdiction
§ 32.1-137.7	Definitions
§ 32.1-137.8	Application to and compliance by utilization review entities
§ 32.1-137.9	Requirements and standards for utilization review entities