| §19.2001 |
General Provisions |
| §19.2002 |
Applicability |
| §19.2003 |
Definitions |
| §19.2004 |
Certificate or Registration of URAs |
| §19.2005 |
General Standards of Utilization Review |
| §19.2006 |
Requirements and Prohibitions Relating to Personnel |
| §19.2007 |
URA Contact with and Receipt of Information from Health Care Providers |
| §19.2008 |
On-Site Review by a URA |
| §19.2009 |
Notice of Determinations Made in Utilization Review |
| §19.2010 |
Requirements Prior to Issuing Adverse Determination |
| §19.2011 |
Written Procedures for Appeal of Adverse Determinations |
| §19.2012 |
URA's Telephone Access and Procedures for Certain Drug Requests and Post-Stabilization Care |
| §19.2013 |
Confidentiality |
| §19.2014 |
Regulatory Requirements Subsequent to Certification or Registration |
| §19.2015 |
Administrative Violations |
| §19.2016 |
Specialty URA |
| §19.2017 |
Independent Review of Adverse Determinations |
