Utilization Review -- Conduct | Midpage

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Montana Code Annotated

Part 2

Utilization Review -- Conduct

33-32-201Repealed 33-32-202Commissioner not to approve or disapprove plans 33-32-203Repealed 33-32-204Repealed 33-32-205Corporate oversight of utilization review program 33-32-206Responsibility for contracted services 33-32-207Health insurance issuer duties for utilization review 33-32-208Operational requirements 33-32-209(Effective January 1, 2026) Exemption for continuity of care on change in health plans 33-32-210(Effective January 1, 2026) Qualifications of individuals making or reviewing adverse determinations 33-32-211Procedures for standard utilization review and benefit determinations -- notices 33-32-212Procedures for expedited utilization review and benefit determinations 33-32-213reserved 33-32-215Emergency services 33-32-216Confidentiality 33-32-217Disclosure 33-32-218reserved 33-32-221Prior authorization requirements 33-32-222Prohibition on prior authorization requirements for prescriptions written at discharge from inpatient care 33-32-223Required method of accepting prior authorization requests