Section 5420.140  Operational Requirements

A Utilization Review Organization shall comply with all URAC standards except where specifically addressed by Section 45 and 50 of the Act for health care plans.  The terms in Section 45 and 50 of the Act shall have the meaning assigned by the Act.  Utilization review decisions shall be issued pursuant to the Managed Care Reform and Patient Rights Act [215 ILCS 134/1 through 299].

(Source:  Added at 24 Ill. Reg. 9429, effective July 1, 2000)