™Your Policy Risk Impact Agent
33 chapters · 1,357 sections in this title.
Conn. Gen. Stat. § 38a-591b Health carrier responsibilities re utilization review.
7.6K chars
Sec. 38a-591b. Health carrier responsibilities re utilization review. (a) Sections 38a-591a to 38a-591n, inclusive, shall apply to (1) any health carrier offering a health benefit plan and that provides or performs utilization review including prospective, concurrent or retrospec…
Conn. Gen. Stat. § 38a-591c Utilization review criteria and procedures.
10.2K chars
Sec. 38a-591c. Utilization review criteria and procedures. (a)(1) Each health carrier shall contract with (A) health care professionals to administer such health carrier's utilization review program, and (B) clinical peers to evaluate the clinical appropriateness of an adverse de…
Conn. Gen. Stat. § 38a-591d Utilization review and benefit determinations. Urgent care requests. Information provided in notice of adverse determination.
22.5K chars
Sec. 38a-591d. Utilization review and benefit determinations. Urgent care requests. Information provided in notice of adverse determination. (a)(1) Each health carrier shall maintain written procedures for (A) utilization review and benefit determinations, (B) expedited utilizati…
Conn. Gen. Stat. § 38a-591e Internal grievance process of adverse determinations based on medical necessity. Expedited review of adverse determinations of urgent care requests.
12.5K chars
Sec. 38a-591e. Internal grievance process of adverse determinations based on medical necessity. Expedited review of adverse determinations of urgent care requests. (a)(1) Each health carrier shall establish and maintain written procedures for (A) the review of grievances of adver…
