Illinois Administrative Code
Title 50 - INSURANCE
Part 4530 - HEALTH CARRIER EXTERNAL REVIEW
Section 4530.60 - Registration of Independent Review Organizations
Current through Register Vol. 48, No. 12, March 22, 2024
a) On or after July 1, 2010, an independent review organization may not conduct external reviews for persons subject to Section 15 of the Act unless the independent review organization has registered with the Director. An application for registration shall be in the format set forth in Appendix D and must be signed by an officer or director of the independent review organization. Initial registration applications shall be deemed approved unless the Director finds an application to be noncompliant with either the standards set forth in Section 55 of the Act or this Part.
b) An independent review organization must register with the Director every 2 years. A fee of $1,000 must be submitted with each application or renewal. If the Director determines that there are no acceptable nationally recognized private accrediting entities providing independent review organization accreditation, he or she may then approve independent review organizations that are not accredited by a nationally recognized private accrediting entity, in which case the fee for each application or renewal shall be $1,500.
c) Any material changes in the information filed pursuant to this Part shall be filed with the Director within 30 days after the change. Loss of accreditation status will require re-registration and payment of the appropriate fee pursuant to subsection (b).
d) Renewals and Appeals