Sec. 1.8. As used in this chapter, "clinical criteria" means: (1) written policies; (2) written screen procedures; (3) drug formularies or lists of covered drugs; (4) determination rules; (5) determination abstracts; (6) clinical protocols; (7) practice guidelines; (8) medical protocols; and (9) any other criteria or rationale; used by the utilization review entity to determine the medical necessity of a health care service. As added by P.L.144-2025, SEC.6.
"Clinical criteria"
Ind. Code § 27-1-37.5-1.8, under Health Care Service Prior Authorization.
Ind. Code § 27-1-37.5-1.8