Me. Stat. tit. 24, §§ 2302-A & 2302-C. Utilization review data: Nonprofit Hospital or Medical Service Organizations — General Provisions – Maine
Status: EnactedYear Enacted: 1987
Year Amended: 1995
File: Download
On or before April 1st of each year, every nonprofit hospital or medical service organization which issues or administers a program or contract in this State that contains a provision whereby in nonemergency cases the insured is required to be prospectively evaluated through a prehospital admission certification, preinpatient service eligibility program or any similar preutilization review or screening procedure prior to the delivery of contemplated hospitalization, inpatient or outpatient health care or medical services which are prescribed or ordered by a duly licensed physician shall file a report on the results of that evaluation for the preceding year with the superintendent
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