TITLE 50: INSURANCE
CHAPTER I: DEPARTMENT OF INSURANCE
SUBCHAPTER kkk: HEALTH CARE SERVICE PLANS
PART 5430 HEALTH CARRIER EXTERNAL REVIEW
SECTION 5430.70 OPERATIONAL REQUIREMENTS
Section 5430.70 Operational Requirements
An independent review organization shall secure and maintain a current certificate of accreditation by the American Accreditation Healthcare Commission (URAC) under applicable standards for Independent Review Organizations except when the Director determines that there are no acceptable nationally recognized private accrediting entities providing independent review organization accreditation. Independent review decisions shall be issued pursuant to the Act.