- (a) Utilization review agents shall adhere to the minimum standards set forth in Section 27-3A-5.
(b) On or after July 1, 1994, a utilization review agent shall not conduct a utilization review in this state unless the agent has certified to the department in writing that the agent is in compliance with Section 27-3A-5. Certification shall be made annually on or before July 1 of each calendar year. In addition, a utilization review agent shall file the following information:
- (1) The name, address, telephone number, and normal business hours of the utilization review agent.
- (2) The name and telephone number of a person for the department to contact.
- (3) A description of the appeal procedures for utilization review determinations.
- (c) Any material changes in the information filed in accordance with this section shall be filed with the State Health Officer within 30 days of the change.
- (d) Unless exempted pursuant to paragraph f. of subdivision (5) of Section 27-3A-3, each utilization review agent, upon filing the certification, shall pay an annual fee in the amount of one thousand dollars ($1,000) to the department. All fees paid pursuant to this subdivision shall be held by the department as expendable receipts for the purpose of administering this chapter.
- (e) The department may adopt rules pursuant to the Administrative Procedure Act necessary to implement this chapter.
(Acts 1994, 1st Ex. Sess., No. 94-786, p. 80, §4.)