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Mississippi Administrative Code

Chapter 19

19 Miss. Code R. 3-19

19

MISSISSIPPI DEPARTMENT OF INSURANCE

19.01Title 19.02Purpose 19.03Definitions 19.04Applicability and Scope 19.05Definitions 19.06Application for Certification 19.07Renewal of Certification 19.08Denial or Revocation of Certification and Penalty 19.09Utilization Review Standards 19.10Appeals of Determinations Not to Certify 19.11Computation of Time 19.12Urgent Prior Authorization Requests; Access to Physicians 19.13Notification for Adverse Determinations / Form 19.14Qualifications of persons reviewing appeals 19.15Change of patient status to emergency status after submission of prior 19.16Length of Approvals 19.17Approvals for chronic conditions 19.18Continuity of Prior Approvals 19.19Revocations of prior authorizations 19.20Standardized electronic prior authorizations 19.21Reports to the Department 19.22Prior Authorization Statistics 19.23Enforcement and administration 19.24Penalties 19.25Severability 19.26Effective Date