Kansas § 40-22a05 Same; act not applicable to certain reviews and programs

Kansas Statutes

§ 40-22a05 — Same; act not applicable to certain reviews and programs

Kansas·Ch. 40 INSURANCE·Art. 22a UTILIZATION REVIEW

The utilization review organization act shall not apply to:

(a)Utilization review of health care services provided to patients under the authority of the Kansas workers compensation act, K.S.A. 44-501 et seq., and amendments thereto;

(b)reviews conducted by any insurance company, health maintenance organization, prepaid service plan, group-funded self-insured plan or similar entity solely for the purpose of determining compliance with the specific terms and conditions of an insurance policy, agreement or contract as a part of the normal claim settlement process; or

(c)any medical programs operated by the secretary for aging and disability services or any entity to the extent it is acting under contract with the secretary.

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The utilization review organization act shall not apply to:
(a) Utilization review of health care services provided to patients under the authority of the Kansas workers compensation act, K.S.A. 44-501 et seq., and amendments thereto;
(b) reviews conducted by any insurance company, health maintenance organization, prepaid service plan, group-funded self-insured plan or similar entity solely for the purpose of determining compliance with the specific terms and conditions of an insurance policy, agreement or contract as a part of the normal claim settlement process; or
(c) any medical programs operated by the secretary for aging and disability services or any entity to the extent it is acting under contract with the secretary.

Kansas § 40-22a05 (Same; act not applicable to certain reviews and programs) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.