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  • 32.1: Health
  • 5: Regulation Of Medical Care Facilities And Services
  • 1.2: Utilization Review Standards And Appeals

Utilization Review Standards And Appeals

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

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