Part 4520 - MANAGED CARE REFORM & PATIENT RIGHTS
- Section 4520.10 - Purpose
- Section 4520.20 - Applicability and Scope
- Section 4520.30 - Definitions
- Section 4520.40 - Provision of Information
- Section 4520.50 - Notice of Nonrenewal or Termination
- Section 4520.60 - Transition of Services
- Section 4520.70 - Health Care Services, Appeals, Complaints and External Independent Reviews
- Section 4520.80 - Joint Resolution of Complaints - Department of Insurance and Department of Public Health - Notification and Resolution Process
- Section 4520.90 - Record of Complaints
- Section 4520.100 - Access and Quality of Care from Providers Without Primary Care Physician Referral or Authorization
- Section 4520.110 - Emergency Services
- Section 4520.120 - Post Stabilization Services
- Section 4520.130 - Registration of Utilization Review Organizations
- Section 4520.140 - Operational Requirements
- Exhibit A - Complaint Record and Column Descriptions
- Exhibit B - Application for Registration of a Utilization Review Organization (Repealed)
- Exhibit C - Utilization Review Organization Officers and Directors Biographical Affidavit (Repealed)
- Exhibit D - NAIC Utilization Review Organization Officers and Directors Biographical Affidavit (Repealed)