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Administrative Rules of Montana

Subchapter 24.29.16

Utilization and Treatment Guidelines

State of Montana

24.29.1601Definitions 24.29.1604Applicability of Utilization and Treatment Rules 24.29.1607Applicability of Formulary Rules to Out-patient Services 24.29.1609Applicability of Utilization and Treatment Guidelines for Managed Care Organizations or Preferred Provider Organizations 24.29.1611Utilization and Treatment Guidelines 24.29.1616Incorporation by Reference and Updates to the Formulary 24.29.1621Prior Authorization 24.29.1624Integration of Formulary with Montana Utilization and Treatment Guidelines – When Prior Authorization Is Required 24.29.1631Special Provisions for Transition of Legacy Claims – When Applicable 24.29.1641Independent Medical Review Process 24.29.1645Expedited Case Review for Prescription Medications by DLI Medical Director 24.29.1648Dispute Resolution for Formulary