Individuals & Families
Small Businesses
Nonprofits
Employers
Employee Benefits Brokers
PEOs
Credit Unions
Membership Groups
Legal Information
Sign In
/
U.S. State Codes
/
Mississippi
/
Title 41 - Public Health
/
Chapter 83 - Utilization Review of Availability...
Chapter 83 - Utilization Review of Availability of Hospital Resources and Medical Services
§ 41-83-1. Definitions
§ 41-83-3. Certificate requirement for utilization review; nontransferability; disclosure to public
§ 41-83-5. Certificate requirement for general in-house utilization review; exemptions
§ 41-83-7. Application for certificate; fees
§ 41-83-9. Submission of information in conjunction with application
§ 41-83-11. Expiration date of certificate; renewal; fees
§ 41-83-13. Grounds for denial or revocation of certificate; time to supply additional information; hearing
§ 41-83-15. Reporting requirements to evaluate and determine compliance
§ 41-83-17. Disclosure or publication of information; consent or authorization; court order
§ 41-83-19. Penalties for violations
§ 41-83-21. Certification of need of immediate hospital care; prima facie evidence
§ 41-83-23. Judicial review; other remedies
§ 41-83-25. Health insurance plans; certificate requirement; contract with private review agent; reimbursement under policy where medical necessity in dispute
§ 41-83-27. Other health insurance policies; certificate requirement; contract with private review agent; reimbursement under policy where medical necessity in dispute
§ 41-83-29. Group or blanket health insurance policies; certificate requirement; contract with private review agent
§ 41-83-31. Adverse determination to patient or health-care provider; discussion of reasons; denial of third party reimbursement or precertification; evaluation by trained specialist