Code of Maryland Regulations
Title 31 - MARYLAND INSURANCE ADMINISTRATION
Subtitle 10 - HEALTH INSURANCE-GENERAL
Chapter 31.10.21 - Private Review Agents
Section 31.10.21.04 - Determinations
Universal Citation: MD Code Reg 31.10.21.04
Current through Register Vol. 51, No. 19, September 20, 2024
A. Nonemergency Treatment. A private review agent shall make all initial determinations on whether to authorize or certify a nonemergency course of treatment for a patient within the time period specified in Insurance Article, § 15-10 B-06, Annotated Code of Maryland.
B. Extended Stays or Additional Health Care Services. A private review agent shall make all determinations on whether to authorize or certify an extended stay in a health care facility or additional health care services within the time period specified in Insurance Article, § 15-10 B-06, Annotated Code of Maryland.
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