304.17A-611 Prohibition against retrospective denial of coverage for health care services under certain circumstances. A utilization review decision shall not retrospectively deny coverage for health care services provided to a covered person when prior approval has been obtained from the insurer or its designee for those services, unless the approval was based upon fraudulent, materially inaccurate, or misrepresented information submitted by the covered person, authorized person, or the provider. Effective: July 14, 2000 History: Created 2000 Ky. Acts ch. 262, sec. 6, effective July 14, 2000.
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